TTB Form 5110.31 "Application and Permit to Ship Puerto Rican Spirits to the United States Without Payment of Tax"

What Is TTB Form 5110.31?

This is a legal form that was released by the U.S. Department of the Treasury - Alcohol and Tobacco Tax and Trade Bureau on May 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 May 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 5110.31 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. 1513-0043 (04/30/2015)
1. SERIAL NUMBER
DEPARTMENT OF THE TREASURY
ALCOHOL AND TOBACCO AND TAX TRADE BUREAU (TTB)
APPLICATION AND PERMIT TO SHIP PUERTO RICAN SPIRITS TO THE UNITED STATES
WITHOUT PAYMENT OF TAX
(See Instructions on Page 2)
See Instructions on erse
PART I - APPLICATION
To The Secretary of the Treasury of Puerto Rico
Application is made to ship distilled spirits of Puer to Rican manufacture to the United States f or transfer from customs custody, under the provision of
26 U.S.C. 5232 to:
2. PLANT NUMBER DSP 2A. OPERATED BY
2B. AT (Number, street, city State and ZIP Code)
3. DISTRICT DIRECTOR, PUERTO RICO OPERATIONS, ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (Address)
4. DESCRIPTION OF SPIRITS
4. DESCRIPTION OF SPIRITS
FORMULA (If any)
CONTAINER
SERIAL
FORM
SERIAL NUMBER
DATE
PROOF
KIND
AGE
NUMBER
KIND
NUMBERS
NUMBER
(If any)
APPROVED
GALLONS
1
PROOF
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
(j)
(i)
5. PRODUCED OR RECTIFIED BY (Name and address)
6. TO BE SHIPPED BY (Name of vessel)
7. TO (Port of arrival in U.S.)
Under penalties of perjur y, I declare that this application and the statements therein have been examined by me and, to the best of my knowledge and
belief, are true, correct, and complete.
8. DATE
9. APPLICANT
9A. BY (Signature and Title)
2
PART II - CERTIFICATE OF REVENUE AGENT
To The Secretary of the Treasury of Puerto Rico
I certify that the statements in P art I are tr ue and correct and that I have inspected and gauged the spirits described therein as follows:
10.
CONTAINER
KIND OF
PROOF
SPIRITS
SERIAL NUMBERS
GALLONS
NUMBER
KIND
(a)
(d)
(e)
(b)
(c)
12. DATE
13. SIGNATURE OF REVENUE AGENT
11. SERIAL NUMBERS OF GOVERNMENT SEALS USED
3
PART III - PERMIT TO SHIP
Permit is hereby granted to the applicant designated in item 10 to ship to the United States the spirits described above.
15A. BY (Signature and Title)
14. DATE
15. SECRETARY
TTB F 5110.31 (05/2009)
Page 1 of 2
OMB No. 1513-0043 (04/30/2015)
1. SERIAL NUMBER
DEPARTMENT OF THE TREASURY
ALCOHOL AND TOBACCO AND TAX TRADE BUREAU (TTB)
APPLICATION AND PERMIT TO SHIP PUERTO RICAN SPIRITS TO THE UNITED STATES
WITHOUT PAYMENT OF TAX
(See Instructions on Page 2)
See Instructions on erse
PART I - APPLICATION
To The Secretary of the Treasury of Puerto Rico
Application is made to ship distilled spirits of Puer to Rican manufacture to the United States f or transfer from customs custody, under the provision of
26 U.S.C. 5232 to:
2. PLANT NUMBER DSP 2A. OPERATED BY
2B. AT (Number, street, city State and ZIP Code)
3. DISTRICT DIRECTOR, PUERTO RICO OPERATIONS, ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (Address)
4. DESCRIPTION OF SPIRITS
4. DESCRIPTION OF SPIRITS
FORMULA (If any)
CONTAINER
SERIAL
FORM
SERIAL NUMBER
DATE
PROOF
KIND
AGE
NUMBER
KIND
NUMBERS
NUMBER
(If any)
APPROVED
GALLONS
1
PROOF
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
(j)
(i)
5. PRODUCED OR RECTIFIED BY (Name and address)
6. TO BE SHIPPED BY (Name of vessel)
7. TO (Port of arrival in U.S.)
Under penalties of perjur y, I declare that this application and the statements therein have been examined by me and, to the best of my knowledge and
belief, are true, correct, and complete.
8. DATE
9. APPLICANT
9A. BY (Signature and Title)
2
PART II - CERTIFICATE OF REVENUE AGENT
To The Secretary of the Treasury of Puerto Rico
I certify that the statements in P art I are tr ue and correct and that I have inspected and gauged the spirits described therein as follows:
10.
CONTAINER
KIND OF
PROOF
SPIRITS
SERIAL NUMBERS
GALLONS
NUMBER
KIND
(a)
(d)
(e)
(b)
(c)
12. DATE
13. SIGNATURE OF REVENUE AGENT
11. SERIAL NUMBERS OF GOVERNMENT SEALS USED
3
PART III - PERMIT TO SHIP
Permit is hereby granted to the applicant designated in item 10 to ship to the United States the spirits described above.
15A. BY (Signature and Title)
14. DATE
15. SECRETARY
TTB F 5110.31 (05/2009)
Page 1 of 2
PA RT IV - CERTIFICATE OF CUSTOMS AND BORDER PROTECTION OFFICER AT PORT OF ARRIVAL IN THE UNITED STATES
I certify that the spirits described before were received and have been inspected and w ere released, as follows:
16. RESULTS OF INSPECTION (See instruction 6)
17. PROOF GALLONS RELEASED
18. PORT OF
20. REMARKS
19. SEALS ON CONVEYANCE INTACT ON ARRIVAL
4
YES
NO
21. DATE
22. SIGNATURE AND TITLE OF CUSTOMS AND BORDER PROTECTION OFFICER
PART V - CERTIFICATE OF RECEIPT
23. GAUGE OF SPIRITS RECEIVED IN BULK
24. UNDER PENALTIES OF PERJURY, I DECLARE
THAT THE SPIRITS DESCRIBED WERE
RECEIVED, EXCEPT AS NOTED ON THIS
FORM OR ON ACCOMPANYING PACKAGE
TANK NO.
PROOF
OTHER ELEMENTS OF GAUGE
PROOF GALLONS
GAUGE RECORD, AND WERE RECORDED IN
MY:
PRODUCTION
PROCESSING
GAIN
LOSS
ACCOUNT
ACCOUNT
25. DATE RECEIVED 26. PROPRIETOR
STORAGE ACCOUNT
FOOTNOTES
1
Show proof only if spirits are in bulk containers other than barrels , drums, or similar packages.
2
If spirits are in barrels, drums, or similar packages, prepare a package gauge record in quintuplicate .
3
If in tanks or v ans.
4
If seals on tanks or v ans are not intact, explain under “Remarks” and record the ser ial number(s) of any Customs seal(s) affixed.
INSTRUCTIONS
1. GENERAL. The consignor must make application on TTB F 5110.31
5. DISPOSITION BY CONSIGNOR. On receipt of the approved forms
(original and 5 copies) for each consignment. Separate applications must
from the Secretary, the consignor will retain one copy of TTB F 5110.31
be filed for shipments in barrels, drums, or similar packages, and
and any accompanying package gauge records, dispatch one copy
for shipments in bulk conveyances. Only spirits produced under one
of each on the vessel concerned for the guidance of the Customs
formula may be shown on the same TTB F 5110.31. The serial number
officer who will inspect the cargo at the port of arrival in the United
shown in Item 1 must be prefixed by the last two digits of the calendar
States, and forward the remaining copies of each, by mail, to the
year, e.g., “09-1.”
District Director of Customs at the port of arrival in the United States.
2. PART I. The consignor must complete Part I of TTB F 5110.31 and
6. PART IV. On receipt of all copies of the TTB F 5110.31 and any related
deliver all copies to the revenue agent. The address of the District
package gauge record, the Customs officer must inspect the shipment
Diretor, Puerto Rico Operations of the consignee’s region must be
and report the results on TTB F 5110.31, Part IV. If the seals on bulk
entered in item 3. Contact 1-877-882-3277 for information on where
containers are intact, the shipment will be released. If the seals are not
to send this form.
intact, they must, before release of the shipment, be replaced by
Customs seals. Each barrel, drum, or similar package, which appears
3. PART II. The revenue agent must determine that the spirits are
to have sustained a loss, must be weighed and reported on the
properly described in Part I and must gauge the spirits. After executing
package gauge record in triplicate. On completing the inspection, the
the certification in Part II, the revenue agent will retain one copy of
Customs officer will execute his certification on all copies of TTB F 5110.31.
TTB F 5110.31 and of the package gauge record, if any, and forward
He/She will retain one copy of TTB F 5110.31 and any related package
the remaining copies to the Secretary.
gauge record. On release of the spirits, the Customs officer will forward
the original and remaining copies of each form to the consignee.
4. PART III. If the application is in order, the Secretary will complete
Part III, retain one copy of TTB F 5110.31 and any accompanying
7. PART V. The consignee will complete Part V of TTB F 5110.31, retain
package gauge record and return the remaining copies of each form to
the copy and the copies of each package gauge record and forward the
the consignor.
original of each form to the Director, TTB National Revenue Center.
PAPERWORK REDUCTION ACT NOTICE
This request is in accordance with the Paperwork Reduction Act of 1995. The information collection is used to make a determination of the eligibility of the
person to withdraw and use taxable commodities on which tax has not been paid. The information requested is mandatory by statute (26 U.S.C. 5314 and
7652).
The estimated average burden associated with this collection of information is 45 minutes per respondent or recordkeeper, depending on individual
circumstances. 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, 1310 G Street, NW, Suite 200-E, Washington, DC 20220.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a current, valid OMB
control number.
TTB F 5110.31 (05/2009)
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