TTB Form 5250.2 "Report of Removal, Transfer, or Sale of Processed Tobacco"

What Is TTB Form 5250.2?

This is a legal form that was released by the U.S. Department of the Treasury - Alcohol and Tobacco Tax and Trade Bureau on July 1, 2009 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2009;
  • The latest available edition released by the U.S. Department of the Treasury - Alcohol and Tobacco Tax and Trade Bureau;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of TTB Form 5250.2 by clicking the link below or browse more documents and templates provided by the U.S. Department of the Treasury - Alcohol and Tobacco Tax and Trade Bureau.

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OMB NO. 1513-0130 (02/28/2013)
DEPARTMENT OF THE TREASURY
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
REPORT OF REMOVAL, TRANSFER, OR SALE OF PROCESSED TOBACCO
GENERAL INSTRUCTIONS
each); and the net total quantity of tobacco, stated in pounds (such as “500
pounds”).
A. Who must file this report? (1)
A person
K. Items 10 through 20
– Enter information as required by the headings. The
holding a permit as a manufacturer of
information must identify the purchaser of the processed tobacco or recipient,
processed tobacco or of tobacco products
if there is no purchaser. Records supporting the information submitted on this
who removes processed tobacco for
report must be maintained, as required under 27 CFR 40.521(c) or 41.261(b).
shipment to someone who does not hold a
L. Item 21 – Who may sign this report?
TTB permit as a manufacturer of processed
tobacco, a manufacturer of tobacco products,
If your
The report must be signed by:
or an export warehouse proprietor must
business is a
report such removal using this form. (27 CFR
(1) You; OR
40.522(d)) (2) A person holding a permit as
Sole
an importer of processed tobacco or of
Proprietorship
(2) An individual for whom you have filed an ATF or TTB F
tobacco products who transfers or sells
5000.8, Power of Attorney, that grants authority to sign
processed tobacco to someone other than a
this report
person holding a TTB permit as an importer
(1) Each partner; OR
Partnership
or manufacturer of processed tobacco or
tobacco products or as an export warehouse
(2) The partner who has been given the authority to sign by
proprietor must report such sale or transfer
the articles of partnership or similar agreement of all the
using this form. (27 CFR 41.262(d))
partners that you filed for this permit; OR
B. When must I file this report?
You must
(3) An individual for whom you filed an ATF or TTB F
file this report by the close of the business
5000.8, Power of Attorney, that grants Authority to sign
day following the removal, sale or transfer,
this report
as described above.
Corporation,
(1) An individual who has signature authority granted by the
D. How do I file this form?
Send the
business documents that you filed for this permit; OR
Association,
completed form to the Director, TTB National
Limited Liability
Revenue Center, 550 Main St., Ste. 8002,
(2) An individual for whom you filed an ATF or TTB F
Company, or
Cincinnati, OH 45202-5215
5000.8, Power of Attorney, that grants authority to sign
other business
this report
Keep a copy for your records.
SPECIFIC INSTRUCTIONS
PAPERWORK REDUCTION ACT NOTICE
This request is in accordance with the Paperwork Reduction Act of 1995. We use this
E. Item 1 – The Employer Identification
information collection to determine your identity, location, extent of operations, eligibility to
Number is
engage in operations, and the likelihood that you will conform with Federal laws and
the nine-digit code that the
regulations. This information is required from you to obtain or retain a benefit and is
Internal Revenue Service (IRS) has assigned
mandatory by law (26 U.S.C. 5712). We estimate that you will spend 2 hours to complete
to your business.
this form (average burden associated with this collection of information). You may spend
F. Item 2 - The TTB permit number is
listed
more or less time depending upon your individual circumstances. Address your comments
concerning the accuracy of this burden estimate and suggestions to reduce this burden to:
on your TTB permit. For example, a permit to
Reports Management Officer, Regulations and Rulings Division, Alcohol and Tobacco Tax
manufacture processed tobacco would have a
and Trade Bureau, Washington, DC 20220. An agency may not conduct or sponsor, and a
number such as “MP-XX-1234,” where XX is
person is not required to respond to, a collection of information unless it displays a current,
the 2-letter State abbreviation. If you have
valid OMB control number.
more than one TTB permit, file separate
PRIVACY ACT INFORMATION
reports for each.
The following information complies with Section 3 of the Privacy Act of 1974 (5 U.S.C.
G. Item 3 –
Each report must have a unique
552a(e)(3)):
serial number. The first report of the calendar
What is TTB’s authority to ask for this information? We require this information
1.
year is “1” and each subsequent report should
under the authority of 26 U.S.C. 5712. You must provide this information before TTB
be numbered in chronological order.
decides on whether your permit will be issued.
H. Items 4 and 5 –
Show in item 4 the date of
What is the purpose for this information collection? You must provide this
2.
information so that TTB will be able to determine your identity, location, extent of
the removal, sale, or transfer. Show in item 5
operations, and eligibility to engage in operations, and the likelihood that you will
the date of the report.
conform with Federal laws and regulations.
I. Items 6 –
Show the name and premises
How does TTB routinely use this information? We use this information to make
3.
.
address as it is shown on your TTB permit
determinations for the purposes described in paragraph 2. Also, if we are not
J. Items 7, 8 and 9 –
Enter a description of
prohibited by law, we may disclose the information that you provided on this form to
other Federal, State, foreign, or local law enforcement or regulatory agency personnel,
the type of processed tobacco that was
and to members of the public to verify it. Finally, we may disclose this information to
removed, sold, or transferred (using
the Justice Department if it appears that false information, which constitutes a violation
descriptions such as “loose cut rag tobacco”);
of Federal law, has been provided.
enter the number and size of transport
What is the effect if I do not supply the information TTB requests? If you fail to
4.
containers (such as 20 boxes, 50 pounds
supply this information, then it will delay TTB’s determination as described in paragraph
2. Also, TTB may disapprove your application if you fail to supply the information.
INSTRUCTIONS - TTB F 5250.2 (07/2009)
OMB NO. 1513-0130 (02/28/2013)
DEPARTMENT OF THE TREASURY
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
REPORT OF REMOVAL, TRANSFER, OR SALE OF PROCESSED TOBACCO
GENERAL INSTRUCTIONS
each); and the net total quantity of tobacco, stated in pounds (such as “500
pounds”).
A. Who must file this report? (1)
A person
K. Items 10 through 20
– Enter information as required by the headings. The
holding a permit as a manufacturer of
information must identify the purchaser of the processed tobacco or recipient,
processed tobacco or of tobacco products
if there is no purchaser. Records supporting the information submitted on this
who removes processed tobacco for
report must be maintained, as required under 27 CFR 40.521(c) or 41.261(b).
shipment to someone who does not hold a
L. Item 21 – Who may sign this report?
TTB permit as a manufacturer of processed
tobacco, a manufacturer of tobacco products,
If your
The report must be signed by:
or an export warehouse proprietor must
business is a
report such removal using this form. (27 CFR
(1) You; OR
40.522(d)) (2) A person holding a permit as
Sole
an importer of processed tobacco or of
Proprietorship
(2) An individual for whom you have filed an ATF or TTB F
tobacco products who transfers or sells
5000.8, Power of Attorney, that grants authority to sign
processed tobacco to someone other than a
this report
person holding a TTB permit as an importer
(1) Each partner; OR
Partnership
or manufacturer of processed tobacco or
tobacco products or as an export warehouse
(2) The partner who has been given the authority to sign by
proprietor must report such sale or transfer
the articles of partnership or similar agreement of all the
using this form. (27 CFR 41.262(d))
partners that you filed for this permit; OR
B. When must I file this report?
You must
(3) An individual for whom you filed an ATF or TTB F
file this report by the close of the business
5000.8, Power of Attorney, that grants Authority to sign
day following the removal, sale or transfer,
this report
as described above.
Corporation,
(1) An individual who has signature authority granted by the
D. How do I file this form?
Send the
business documents that you filed for this permit; OR
Association,
completed form to the Director, TTB National
Limited Liability
Revenue Center, 550 Main St., Ste. 8002,
(2) An individual for whom you filed an ATF or TTB F
Company, or
Cincinnati, OH 45202-5215
5000.8, Power of Attorney, that grants authority to sign
other business
this report
Keep a copy for your records.
SPECIFIC INSTRUCTIONS
PAPERWORK REDUCTION ACT NOTICE
This request is in accordance with the Paperwork Reduction Act of 1995. We use this
E. Item 1 – The Employer Identification
information collection to determine your identity, location, extent of operations, eligibility to
Number is
engage in operations, and the likelihood that you will conform with Federal laws and
the nine-digit code that the
regulations. This information is required from you to obtain or retain a benefit and is
Internal Revenue Service (IRS) has assigned
mandatory by law (26 U.S.C. 5712). We estimate that you will spend 2 hours to complete
to your business.
this form (average burden associated with this collection of information). You may spend
F. Item 2 - The TTB permit number is
listed
more or less time depending upon your individual circumstances. Address your comments
concerning the accuracy of this burden estimate and suggestions to reduce this burden to:
on your TTB permit. For example, a permit to
Reports Management Officer, Regulations and Rulings Division, Alcohol and Tobacco Tax
manufacture processed tobacco would have a
and Trade Bureau, Washington, DC 20220. An agency may not conduct or sponsor, and a
number such as “MP-XX-1234,” where XX is
person is not required to respond to, a collection of information unless it displays a current,
the 2-letter State abbreviation. If you have
valid OMB control number.
more than one TTB permit, file separate
PRIVACY ACT INFORMATION
reports for each.
The following information complies with Section 3 of the Privacy Act of 1974 (5 U.S.C.
G. Item 3 –
Each report must have a unique
552a(e)(3)):
serial number. The first report of the calendar
What is TTB’s authority to ask for this information? We require this information
1.
year is “1” and each subsequent report should
under the authority of 26 U.S.C. 5712. You must provide this information before TTB
be numbered in chronological order.
decides on whether your permit will be issued.
H. Items 4 and 5 –
Show in item 4 the date of
What is the purpose for this information collection? You must provide this
2.
information so that TTB will be able to determine your identity, location, extent of
the removal, sale, or transfer. Show in item 5
operations, and eligibility to engage in operations, and the likelihood that you will
the date of the report.
conform with Federal laws and regulations.
I. Items 6 –
Show the name and premises
How does TTB routinely use this information? We use this information to make
3.
.
address as it is shown on your TTB permit
determinations for the purposes described in paragraph 2. Also, if we are not
J. Items 7, 8 and 9 –
Enter a description of
prohibited by law, we may disclose the information that you provided on this form to
other Federal, State, foreign, or local law enforcement or regulatory agency personnel,
the type of processed tobacco that was
and to members of the public to verify it. Finally, we may disclose this information to
removed, sold, or transferred (using
the Justice Department if it appears that false information, which constitutes a violation
descriptions such as “loose cut rag tobacco”);
of Federal law, has been provided.
enter the number and size of transport
What is the effect if I do not supply the information TTB requests? If you fail to
4.
containers (such as 20 boxes, 50 pounds
supply this information, then it will delay TTB’s determination as described in paragraph
2. Also, TTB may disapprove your application if you fail to supply the information.
INSTRUCTIONS - TTB F 5250.2 (07/2009)
OMB No 1513-0130 (02/28/2013)
DEPARTMENT OF THE TREASURY
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
REPORT OF REMOVAL, SALE, OR TRANSFER OF PROCESSED TOBACCO
PART I – PERMIT HOLDER INFORMATION
1. Employer identification number (Read instruction E):
2. TTB permit number (Read
3. Serial number (Read
instruction F):
instruction G):
4. Date of removal, sale, or transfer (mm/dd/yyyy):
6. Name and premises address:
5. Date of this report (mm/dd/yyyy):
PART II – TYPE AND QUANTITY OF PROCESSED TOBACCO TRANSFERRED
7. Description of processed tobacco:
8. Number of transporting containers and weight
9. Total quantity
of processed tobacco in each:
transferred (pounds):
PART III – IDENTIFICATION OF PURCHASER
AND OF PERSON DELIVERING PROCESSED TOBACCO
10. Full name of purchaser/recipient of
11. Business address of the
12. Telephone number:
processed tobacco:
purchaser/recipient:
(
)
13. Destination street address of the processed tobacco (if different than Item 10 – if same, check
15. Business phone number at
box below):
destination (if same as Item 12
check box below):
(
)
Same as Item 11
Same as Item 12
16. Name and address of person picking up the processed tobacco for delivery:
17. Identification (number of driver’s license or other
government-issued picture ID) for person listed
in Item 16:
18. License plate/tag number of vehicle:
19. Did the recipient sign a declaration of the specific purpose for
20. Did the recipient sign declaration that he/she represents
receipt of this processed tobacco?
purchaser as agent?
Yes
No, Explain:
Yes
No, Explain:
PART IV – TRANSFERRING PERMIT HOLDER’S CERTIFICATION
Under penalty of perjury, I declare that I have examined this report and, to the best of my knowledge and belief,
the information presented in this report is true, correct, and complete.
21. Signature
22. Title
22. Date Signed
TTB F 5250.2 (07/2009)
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