TTB Form 5110.28 "Monthly Report of Processing Operations"

What Is TTB Form 5110.28?

This is a legal form that was released by the U.S. Department of the Treasury - Alcohol and Tobacco Tax and Trade Bureau on March 1, 2016 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2016;
  • 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 5110.28 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. 1513-0041 (04/30/2017)
2. MONTH AND YEAR
DEPARTMENT OF THE TREASURY
1. PLANT NUMBER
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
MONTHLY REPORT OF PROCESSING OPERATIONS
3. NAME OF PROPRIETOR
1. Every proprietor engaged in processing operations must prepare this form each month in duplicate.
2. The proprietor must forward the original to the Director, National Revenue Center, 550 Main St, Ste 8002, Cincinnati, OH
45202-5215, on or before the 15th day of the month following the month for which prepared.
3. The copy is to be kept on file by the proprietor.
5. Employer Identification Number (EIN)
4. LOCATION OF PLANT
PART I - BULK INGREDIENTS
PART II - FINISHED PRODUCTS
TRANSACTION
WINE
SPIRITS
TRANSACTION
BOTTLED
PACKAGED
(Proof gallons)
(Proof gallons)
(Proof gallons)
(Proof gallons)
(a)
(b)
(c)
(a)
(b)
(c)
1.
ON HAND FIRST OF MONTH
27. ON HAND FIRST OF MONTH
2.
RECEIVED (Other than line 3)
28. BOTTLED OR PACKAGED
3.
ALCOHOL FOR FUEL USE RECEIVED FROM
29. RECEIVED
CUSTOMS CUSTODY
30. INVENTORY OVERAGES
4.
ALCOHOL, FLAVOR, MATERIALS DUMPED
5.
WINE MIXED WITH SPIRITS
31. TOTAL - LINES 27 THROUGH 30
6.
DUMPED FOR FURTHER PROCESSING
1
32. TRANSFERRED IN BOND
7.
GAINS
33. WITHDRAWN TAX DETERMINED
8.
TOTAL - LINES 1 THROUGH 7
34. WITHDRAWN FREE OF TAX: FOR U.S. HOSPITAL,
9.
BOTTLED OR PACKAGED
SCIENTIFIC, OR EDUCATIONAL USE
10. WINE MIXED WITH SPIRITS
35. WITHDRAWN WITHOUT PAYMENT OF TAX:
FOR ADDITION TO WINE
11. USED FOR DENATURATION
12. TRANSFERRED IN BOND
36. FOR EXPORTATION, VESSELS, AND AIRCRAFT,
AND TRANSFER TO C.B.W.
13. WITHDRAWN TAX DETERMINED
14. WITHDRAWN FREE OF TAX: FOR U.S., HOSPITAL,
37. TRANSFERRED TO PRODUCTION ACCOUNT
SCIENTIFIC, OR EDUCATIONAL USE
FOR REDISTILLATION
15. WITHDRAWN WITHOUT PAYMENT OF TAX:
38. WITHDRAWN FOR RESEARCH, DEVELOPMENT,
FOR ADDITION TO WINE
OR TESTING (Including Gov. samples)
16. FOR EXPORTATION & TRANSFER TO C.B.W.
39. DESTROYED
17. TRANSFERRED TO PRODUCTION ACCOUNT
40. DUMPED FOR FURTHER PROCESSING
FOR REDISTILLATION
41.
18. WITHDRAWN FOR RESEARCH, DEVELOPMENT,
42.
OR TESTING (Including Gov. samples)
43.
44. RECORDED LOSSES
19. DESTROYED
45. INVENTORY SHORTAGES
20. USED FOR REDISTILLATION
46. ON HAND END OF MONTH
21.
22.
47. TOTAL - LINES 32 THROUGH 46
23.
24. LOSSES
1
Bottled nonindustrial (beverage) use spirits may not be received or transferred in bond.
25. ON HAND END OF MONTH
26. TOTAL - LINES 9 THROUGH 25
TTB F 5110.28 (03/2016)
OMB No. 1513-0041 (04/30/2017)
2. MONTH AND YEAR
DEPARTMENT OF THE TREASURY
1. PLANT NUMBER
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
MONTHLY REPORT OF PROCESSING OPERATIONS
3. NAME OF PROPRIETOR
1. Every proprietor engaged in processing operations must prepare this form each month in duplicate.
2. The proprietor must forward the original to the Director, National Revenue Center, 550 Main St, Ste 8002, Cincinnati, OH
45202-5215, on or before the 15th day of the month following the month for which prepared.
3. The copy is to be kept on file by the proprietor.
5. Employer Identification Number (EIN)
4. LOCATION OF PLANT
PART I - BULK INGREDIENTS
PART II - FINISHED PRODUCTS
TRANSACTION
WINE
SPIRITS
TRANSACTION
BOTTLED
PACKAGED
(Proof gallons)
(Proof gallons)
(Proof gallons)
(Proof gallons)
(a)
(b)
(c)
(a)
(b)
(c)
1.
ON HAND FIRST OF MONTH
27. ON HAND FIRST OF MONTH
2.
RECEIVED (Other than line 3)
28. BOTTLED OR PACKAGED
3.
ALCOHOL FOR FUEL USE RECEIVED FROM
29. RECEIVED
CUSTOMS CUSTODY
30. INVENTORY OVERAGES
4.
ALCOHOL, FLAVOR, MATERIALS DUMPED
5.
WINE MIXED WITH SPIRITS
31. TOTAL - LINES 27 THROUGH 30
6.
DUMPED FOR FURTHER PROCESSING
1
32. TRANSFERRED IN BOND
7.
GAINS
33. WITHDRAWN TAX DETERMINED
8.
TOTAL - LINES 1 THROUGH 7
34. WITHDRAWN FREE OF TAX: FOR U.S. HOSPITAL,
9.
BOTTLED OR PACKAGED
SCIENTIFIC, OR EDUCATIONAL USE
10. WINE MIXED WITH SPIRITS
35. WITHDRAWN WITHOUT PAYMENT OF TAX:
FOR ADDITION TO WINE
11. USED FOR DENATURATION
12. TRANSFERRED IN BOND
36. FOR EXPORTATION, VESSELS, AND AIRCRAFT,
AND TRANSFER TO C.B.W.
13. WITHDRAWN TAX DETERMINED
14. WITHDRAWN FREE OF TAX: FOR U.S., HOSPITAL,
37. TRANSFERRED TO PRODUCTION ACCOUNT
SCIENTIFIC, OR EDUCATIONAL USE
FOR REDISTILLATION
15. WITHDRAWN WITHOUT PAYMENT OF TAX:
38. WITHDRAWN FOR RESEARCH, DEVELOPMENT,
FOR ADDITION TO WINE
OR TESTING (Including Gov. samples)
16. FOR EXPORTATION & TRANSFER TO C.B.W.
39. DESTROYED
17. TRANSFERRED TO PRODUCTION ACCOUNT
40. DUMPED FOR FURTHER PROCESSING
FOR REDISTILLATION
41.
18. WITHDRAWN FOR RESEARCH, DEVELOPMENT,
42.
OR TESTING (Including Gov. samples)
43.
44. RECORDED LOSSES
19. DESTROYED
45. INVENTORY SHORTAGES
20. USED FOR REDISTILLATION
46. ON HAND END OF MONTH
21.
22.
47. TOTAL - LINES 32 THROUGH 46
23.
24. LOSSES
1
Bottled nonindustrial (beverage) use spirits may not be received or transferred in bond.
25. ON HAND END OF MONTH
26. TOTAL - LINES 9 THROUGH 25
TTB F 5110.28 (03/2016)
PART III - PUERTO RICAN AND VIRGIN ISLANDS SPIRITS (RUM) AND "OTHER" IMPORTED RUM
1
(a) PUERTO RICAN SPIRITS
(b) VIRGIN ISLANDS SPIRITS
(c) "OTHER" IMPORTED RUM
48. PROOF GALLONS REMOVED TAXPAID OR TAX DETER-
MINED
PART IV - PROCESSING OF BEVERAGE (Nonindustrial use) SPIRITS
PART IV – PROCESSING OF BEVERAGE (Nonindustrial use) SPIRITS
BOTTLED
BOTTLED IN BOND
4
BOTTLED
BULK SPIRITS DUMPED
BOTTLED - IMPORTED
3
KIND
(Excluded bottled in bond
27 CFR 5.42(b)
FOR EXPORT
INTO PROCESSING
2
(Whole wine gallons)
and export)
(Exclude export)
(Whole proof gallons)
(Whole proof gallons)
(Whole wine gallons)
(Whole wine gallons)
(a)
(b)
(c)
(d)
(e)
(f)
49. ALCOHOL AND NEUTRAL SPIRITS (Other than vodka)
50. BLENDED STRAIGHT WHISKEY
5
a.
With neutral spirits
6
51. BLENDED WHISKEY:
b.
With light whiskey
7
52. BLENDED LIGHT WHISKEY
8
53. ANY OTHER BLENDS OF 100% WHISKEY
a.
Scotch
54. IMPORTED WHISKEY:
b.
Canadian
c.
Irish and Others
55. DOMESTIC WHISKEY DISTILLED AT 160° AND UNDER
56. DOMESTIC WHISKEY DISTILLED AT OVER 160°
57. BRANDY DISTILLED AT 170° AND UNDER
58. BRANDY DISTILLED AT OVER 170°
a.
Puerto Rican
59. SPIRITS (Rum)
1
1b.
Virgin Islands
a.
Domestic
60. RUM
b.
"Other" Imported
61. GIN
62. VODKA
63. CORDIALS, LIQUEURS, AND SPECIALTIES
9
64. COCKTAILS AND MIXED DRINKS
65. TEQUILA
66.
67. TOTAL - LINES 49 THROUGH 66
UNDER PENALTIES OF PERJURY, I DECLARE that I have examined this report and, to the best of my knowledge and belief, it is a true and complete report.
DATE
PROPRIETOR
BY (Signature and Title)
Only products containing at least 92% RUM should be recorded at line 48(a) and (b), and at lines 59
Bottled in bond spirits are those that conform to the standard prescribed by 27 CFR 5.42(b) and are
1
4
a and b.
labeled with the words "bond ," "bottled in bond," "aged in bond," or similar phrases. Do not include
Do not include spirits that have been previously reported as dumped on dump/batch records and
imported spirits.
2
retained in processing (27 CFR 19.343).
Blends of straight whiskies, all of which are 2 y ears old or older; no neutral spirits; no light whiskey.
5
Include spirits from Puerto Rico and Virgin Islands. Imported spirits that are not allowed to be
Blended whiskey, containing at least 20% str a ight whiskey, and the balance , neutral spirits.
3
6
labeled as a product of a foreign country, Puerto Rican, or Virgin Islands spirits under 27 CFR Part 5
Blended whiskey containing at least 20% str a ight whiskey, and the balance, light whisk ey.
7
must be reported as domestic spirits.
Light whiskey blended with more than 2% but less than 20% straight whiskey; no neutral spirits.
8
Includes flavored whiskies, gins, vodkas, brandies, etc.
9
TTB F 5110.28 (03/2016)
PAPERWORK REDUCTION ACT NOTICE
This information request is in accordance with the Paperwork Reduction Act of 1995. The purpose of this information collection is to monitor the operation of
industries regulated by TTB. The information is required to verify unusual activities, errors, and omissions on taxable commodities. The information is
mandatory by statute. (26 U.S.C. 5207).
The estimated average burden associated with this collection of information is 2 hours per respondent or recordkeeper, depending on individual circum-
stances. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be addressed to the Reports Management
Officer, Regulations and Rulings Division, Alcohol and Tobacco Tax and Trade Bureau, Washington, D.C. 20220.
An agency may not conduct or sponsor, and a person is not required to repond to, a collection of information unless it displays a current, valid OMB control
number.
TTB F 5110.28 (03/2016)
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