Form TTB F 5220.6 TTB F 5220.6 Monthly Report - Tobacco Products Importer

OMB No. 1513-0107 (12/31/2006)

DEPARTMENT OF THE TREASURY
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)

MONTHLY REPORT - TOBACCO PRODUCTS IMPORTER
INSTRUCTIONS: Please type or print. Prepare in duplicate, retain the copy and submit the original to the National Revenue Center, Alcohol and Tobacco Tax and Trade Bureau, 550 Main St, Ste 8002,
Cincinnati, Ohio 45202-5215, not later than the 20th day of the month following the end of the month for which report is made. Combine data for all locations covered by a single permit.

NOTE: For this report, do NOT include tobacco products that are in Customs custody.
1. NAME OF IMPORTER

3. MONTH AND YEAR
OF REPORT

2. PRINCIPAL BUSINESS ADDRESS (Number, Street, City, State and ZIP Code)

4. PERMIT NUMBER

ARTICLE

SMALL
CIGARETTES
(Number)
(a)

5. EMPLOYER IDENTIFICATION
NUMBER (EIN)

LARGE
CIGARETTES
(Number)
(b)

SMALL
CIGARS
(Number)
(c)

LARGE
CIGARS
(Number)
(d)

SNUFF
LBS.

OZ.
(e)

CHEWING
PIPE
TOBACCO
LBS.
OZ
(f)

PIPE
CHEWING
TOBACCO
LBS.
OZ.
(g)

ROLL-YOUR- OWN
TOBACCO
LBS.
OZ.
(h)

6. ON HAND, BEGINNING
OF MONTH
__________________________________________________________________________________________________________________________________________________
7. IMPORTED AND RELEASED
FROM CUSTOMS CUSTODY

__________________________________________________________________________________________________________________________________________________
INTO THE UNITED STATES
8. OVERAGE DIS CLOSED

BY INVENTORY
__________________________________________________________________________________________________________________________________________________
9. RETURNED FROM
DOMESTIC CUSTOMERS
__________________________________________________________________________________________________________________________________________________
10. TOTAL

__________________________________________________________________________________________________________________________________________________

11. REMOVED FOR
EXPORT PURPOSES
__________________________________________________________________________________________________________________________________________________
12. TRANSFERRED TO
DOMESTIC CUSTOMERS
__________________________________________________________________________________________________________________________________________________
13. REMOVED TO A
FOREIGN TRADE ZONE
__________________________________________________________________________________________________________________________________________________
14. RETURNED TO
CUSTOMS CUSTODY
__________________________________________________________________________________________________________________________________________________
15. LOST

__________________________________________________________________________________________________________________________________________________

16. DESTROYED

__________________________________________________________________________________________________________________________________________________

17. SHORTAGES
DISCLOSED BY INVENTORY
__________________________________________________________________________________________________________________________________________________

18. ON HAND, END OF
MONTH
__________________________________________________________________________________________________________________________________________________
19.
TOTAL
__________________________________________________________________________________________________________________________________________________
Under the penalties of perjury, I declare that I have examined this report and, to the best of my knowledge and belief, it is true, correct, and complete.

20. SIGNATURE

21. DATE

22. E-MAIL ADDRESS (optional
information)

23. TELEPHONE NUMBER (optional
information)

24. TITLE OR STATUS (State whether individual owner, partner, member of a limited liability company, or if officer of corporation, give title)

TTB F 5220.6 (12/2006)

FOR TTB USE ONLY
AUDITED BY
DATE OF AUDIT

PAPERWORK REDUCTION ACT NOTICE

This request is in accordance with the Paperwork Reduction Act of 1995. The purpose of this information collection is to establish product accountability and to compile data for statistical purposes. The
information is mandatory (26 U.S.C. 5722).
The estimated average burden associated with this collection of information is 56 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,
Washington, DC 20220.
An agency may not conduct or sponsor, and an individual is not required to respond to, a collection of information unless it displays a current, valid OMB control number.

TTB F 5220.6 (12/2006)