TTB Form 5154.2 "Supporting Data for Nonbeverage Drawback Claims"

What Is TTB Form 5154.2?

This is a legal form that was released by the U.S. Department of the Treasury - Alcohol and Tobacco Tax and Trade Bureau on November 1, 2014 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 1, 2014;
  • 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 5154.2 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.

ADVERTISEMENT
ADVERTISEMENT

Download TTB Form 5154.2 "Supporting Data for Nonbeverage Drawback Claims"

Download PDF

Fill PDF online

Rate (4.3 / 5) 39 votes
OMB No. 1513-0098 (05/31/2016)
DEPARTMENT OF THE TREASURY
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
SUPPORTING DATA FOR NONBEVERAGE DRAWBACK CLAIMS
PAGE_____OF____
(PLEASE READ INSTRUCTIONS BELOW BEFORE COMPLETING THIS FORM)
PART I - IDENTIFICATION DATA
1. NAME AND ADDRESS OF CLAIMANT
2. PERIOD COVERED (Check one)
QUARTER
MONTH
ENDING:___________________________
PART II - DISTILLED SPIRITS ACCOUNT (IN PROOF GALLONS, EXCEPT LINES 1-2)
SPIRITS RECOVERED
Was a physical inventory taken per 27 CFR 17.167(a)?
Eligible Spirits Content of Intermediate
New Spirits (eligible, not previously
In the Manufacture
In the Manufacture of Intermediate
(Check one)
Products
used in intermediate or nonbeverage
of Nonbeverage
Products (eligible spirits)
products)
Products (ineligible
Yes
No
spirits)
(a)
(b)
(c)
(d)
1. KIND (optional, except for Puerto Rican or U.S. Virgin
Islands spirits, and imported rum)
2. EFFECTIVE TAX RATE PER PROOF GALLON
$
$
$
$
$
$
3. ON HAND, START OF PERIOD
4. IN PROCESS, START OF PERIOD
5. RECEIVED
DURING
PERIOD:
6. RECOVERED
7. PRODUCED
8. GAINS
9. TOTAL TO ACCOUNT FOR (add lines 3-8)
10. USED IN NONBEVERAGE PRODUCTS
DURING
11. USED IN INTERMEDIATE PRODUCTS
PERIOD:
12. OTHERWISE USED (not subject to drawback)
13. LOSSES
14. ON HAND, END OF PERIOD
15. IN PROCESS, END OF PERIOD
16. TOTAL ACCOUNTED FOR (add lines 10-15)
TTB F 5154.2 (11/2014)
OMB No. 1513-0098 (05/31/2016)
DEPARTMENT OF THE TREASURY
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
SUPPORTING DATA FOR NONBEVERAGE DRAWBACK CLAIMS
PAGE_____OF____
(PLEASE READ INSTRUCTIONS BELOW BEFORE COMPLETING THIS FORM)
PART I - IDENTIFICATION DATA
1. NAME AND ADDRESS OF CLAIMANT
2. PERIOD COVERED (Check one)
QUARTER
MONTH
ENDING:___________________________
PART II - DISTILLED SPIRITS ACCOUNT (IN PROOF GALLONS, EXCEPT LINES 1-2)
SPIRITS RECOVERED
Was a physical inventory taken per 27 CFR 17.167(a)?
Eligible Spirits Content of Intermediate
New Spirits (eligible, not previously
In the Manufacture
In the Manufacture of Intermediate
(Check one)
Products
used in intermediate or nonbeverage
of Nonbeverage
Products (eligible spirits)
products)
Products (ineligible
Yes
No
spirits)
(a)
(b)
(c)
(d)
1. KIND (optional, except for Puerto Rican or U.S. Virgin
Islands spirits, and imported rum)
2. EFFECTIVE TAX RATE PER PROOF GALLON
$
$
$
$
$
$
3. ON HAND, START OF PERIOD
4. IN PROCESS, START OF PERIOD
5. RECEIVED
DURING
PERIOD:
6. RECOVERED
7. PRODUCED
8. GAINS
9. TOTAL TO ACCOUNT FOR (add lines 3-8)
10. USED IN NONBEVERAGE PRODUCTS
DURING
11. USED IN INTERMEDIATE PRODUCTS
PERIOD:
12. OTHERWISE USED (not subject to drawback)
13. LOSSES
14. ON HAND, END OF PERIOD
15. IN PROCESS, END OF PERIOD
16. TOTAL ACCOUNTED FOR (add lines 10-15)
TTB F 5154.2 (11/2014)
PAGE
OF
PART III - PRODUCTION OF NONBEVERAGE PRODUCTS
ELIGIBLE SPIRITS USED
FINSHED PRODUCT PRODUCED
INFORMATION FROM TTB FORM 5154. 1
INELIGIBLE
RECOVERED
AMOUNT PRODUCED
NAME OF
FORMULA NO. (or
AMOUNT USED
ALCOHOL
KIND (P.R. or V.I.
DRAWBACK RATE
SPIRITS USED
(wine gals., except
PRODUCT
CONTENT BY
“NF,” “USP” or
spirits, imported
(= $1.00 less than
(proof gals.)
(proof gals.)
dry products)
VOLUME
“HPUS”)
rum, other kinds)
effective tax rate)
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
1.
$
%
2.
$
%
3.
$
%
4.
$
%
5.
%
$
6.
%
$
7.
$
%
8.
$
%
9.
$
%
10.
$
%
11.
$
%
12.
$
%
13.
$
%
14.
$
%
PART IV - ADDITIONAL AND EXPLANATORY INFORMATION
I certify, under the penalties of perjury, that the data submitted
SIGNATURE AND TITLE
DATE
on this form are correct, to the best of my knowledge.
TTB F 5154.2 (11/2014)
PART III - PRODUCTION OF NONBEVERAGE PRODUCTS (Continued)
PAGE
OF
INFORMATION FROM TTB FORM 5154. 1
ELIGIBLE SPIRITS USED
FINISHED PRODUCT PRODUCED
INELIGIBLE
RECOVERED
ALCOHOL
NAME OF PRODUCT
FORMULA NO. (or
KIND (P.R. or V.I.
DRAWBACK RATE
AMOUNT USED
AMOUNT PRODUCED
SPIRITS USED
CONTENT BY
(Please number each line)
“NF,” “USP” or
spirits, imported
(= $1.00 less than
(proof gals.)
( wine gals., except
(proof gals.)
VOLUME
“HPUS”)
rum, other kinds)
effective tax rate)
dry products)
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
$
%
$
%
$
%
$
%
$
%
$
%
$
%
$
%
$
%
$
%
$
%
$
%
$
%
$
%
$
%
$
%
$
%
$
%
$
%
$
%
TTB F 5154.2 (11/2014)
Page of 3