Form TTB F 5110.11 TTB F 5110.11 Monthly Report of Storage Operations

OMB No. 1513-0039 (09/30/2006)

DEPARTMENT OF THE TREASURY

REPORT COVERS:

MONTH AND YEAR

DOMESTIC SPIRITS AND ALL WINES

IMPORTED SPIRITS

PUERTO RICAN SPIRITS

VIRGIN ISLANDS SPIRITS

ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)

MONTHLY REPORT OF STORAGE OPERATIONS
INSTRUCTIONS
Every proprietor as a warehouseman must prepare this form monthly, in
duplicate. Forward the original to the Director, National Revenue Center,
550 Main St., Ste. 8002, Cincinnati, OH 45202-5215, not later than the 15th

day of the month following that for which the report is rendered. The remaining copy
must be retained by the proprietor. Separate reports must be prepared for domestic
spirits, imported spirits, Puerto Rican spirits, and spirits from the Virgin Islands.
Denaturing operations must be reported on TTB F 5110.43.

NAME OF PROPRIETOR
LOCATION OF PLANT

PLANT NUMBER
DSP

PROOF GALLONS
TRANSACTIONS

(a)
On hand first of month
Deposited in bulk storage1/
Received from customs custody
Returned to bulk storage

6.
7.

TOTAL (Lines 1 through 5)
Taxpaid
8. Use of the United States
9. Hospital, scientific educational use2/
10. Export

WITHDRAWN FOR

1.
2.
3.
4.
5.

11.
12.
13.
14.

WHISKY6/
DISTILLED AT 160°
AND UNDER
(b)

DISTILLED AT
OVER 160°
(c)

BRANDY
DISTILLED AT
170° AND UNDER
(d)

RUM

DISTILLED AT
OVER 170°
(e)

(f)

GIN

ALCOHOL AND SPIRITS

VODKA

(g)

UNDER 190°

OTHER
(Identify)

WINE
(Proof gallons)

TOTAL

190° AND OVER

(i)

(j)

(k)

(l)

(m)

(h)

Transfer to foreign-trade zone
Transfer to CMBW
Use as supplies on vessels and aircraft
Transfer to bonded winery

15. Transfer to CBW
16. Research, development or testing3/

17. Transferred to processing account
18. Transferred to production account4/
19. Transferred to other bonded premises
20. Destroyed
21.
22. Other Losses5/
23. On hand end of month
24. TOTAL (Lines 7 through 23)

FOOTNOTES
1

2

From production or by transfer in bond.
Does not include spirits withdrawn for experimental or
research use under 26 U.S.C. 5312; such spirits should
be reported and identified at Line 21.

TTB F 5110.11 (7/2006)

3

Withdrawals under 26 U.S.C. 5214(a)(10) or 5373(b)(4).

4

In the case of imported spirits or spirits from Puerto
Rico and Virgin Islands, applicable only to spirits of 185
degrees or more of proof.

5

6

Includes only losses determined at the time of:
(1) withdrawal
(2) dumping for mingling, or
(3) emptying or inventorying storage tanks.
Includes domestic whisky distilled at over 160° proof in
col. (c). All other whisky should be reported in col. (b).

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, correct,
and complete report of storage operations, and is supported by true, correct and complete commercial records which are available for inspection.
DATE
BY: (Signature and Title)

PROPRIETOR

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 operations of industries regulated by TTB. The information is required to verify unusual activities,
errors, or omissions on taxable commodities. The information is mandatory by statute (26 U.S.C. 5207). This information collection must be retained for 3 years.
The estimated average burden associated with this collection of information is 2 hours 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: 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 respond to, a collection of information unless it displays a current, valid OMB control number.

TTB F 5110.11 (7/2006)