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pdfOMB No. 1513-0103 (12/31/2014)
DEPARTMENT OF THE TREASURY
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
TOBACCO BOND
GENERAL INSTRUCTIONS
A. When must I complete and file this bond? The provisions of
26 U.S.C. Chapter 52 require a bond for a person who conducts
business as a manufacturer of tobacco products, proprietor of an
export warehouse, or manufacturer of cigarette papers and tubes.
This bond shows that you have a bond with a corporate surety and
that you and the corporate surety are responsible for the terms and
conditions of this bond; or, this bond shows that you have deposited
government obligations of the United States and are responsible for
the terms and conditions of this bond. You must have an approved
bond before you can commence business.
B. What is a corporate surety? A corporate surety promises to pay
your liability incurred under this bond up to the amount stated on this
bond. The Secretary of the Treasury authorizes qualified companies
to give bonds and to act as corporate surety to protect the revenue.
You may find authorized corporate sureties in Treasury Department
Circular 570, available from the Surety Bond Branch, Financial
Management Service, Department of the Treasury, Washington, DC
20220 or at http://www.fms.treas.gov.
C. May I use more than one corporate surety? We prefer that you
not use more than one corporate surety. However, if you use more
than one corporate surety, you and the corporate sureties must
modify this bond. The modifications include additions and
modifications to the terms and conditions of this bond. You should
contact TTB before you submit this bond with more than one
corporate surety.
STEP BY STEP INSTRUCTIONS
Item 1: What is the permit number? DO NOT complete this
item if you do not know the TTB permit number assigned to
your business. Only a manufacturer of tobacco products
who has more than one factory may enter more than one
TTB permit number.
Item 2: What Is the Principal/Obligor legal name?
If your business is a: Your legal name is:
Sole proprietorship
Your full name
Partnership
The name of each partner, or the
name of the partnership as filed with
a State or local government
Corporation,
association, limited
liability company, or
other business
The name as stated on your
documents filed with a State or local
government
D. Where can I get assistance with this form? Contact a specialist at
the National Revenue Center by phone at 1-877-882-3277, or send an
e-mail to [email protected] or [email protected]. Please visit
our website at http://www.ttb.gov/tobacco/index.htm for additional
information.
E. How do I make corrections to the bond if I make a mistake? If
you or the corporate surety make any alteration or erasure to this
bond, you and the corporate surety must identify, initial, and date the
correction.
F. May I submit this bond on more than one sheet? We prefer that
you submit this bond on a single sheet. However, if that is not
possible, put your business’s legal name, employer identification
number, and TTB permit number (if assigned) on any additional
sheets.
G. Must I submit two copies and must each copy have original
signatures? You must submit two identical copies of this bond and
all individuals required to sign the bonds must sign them in ink. If we
approve the bonds, we will keep one copy and return the other copy
to you for your records.
H. Where do I send this bond? Send both signed copies of the bond
and necessary attachments to:
TTB, National Revenue Center
550 Main St
Ste 8002
Cincinnati, OH 45202-5215
Item 7: Do I file an individual or blanket bond? If you
only have one location, select an individual bond. A
blanket bond may only be filed by a manufacturer of
tobacco products who has more than one factory with an
assigned permit number covered by the bond. (NOTE:
IF YOU HAVE ONLY ONE PERMIT NUMBER TO
ENTER IN ITEM 1, YOU MUST FILE AN INDIVIDUAL
BOND).
Item 8: What is the effective date of this bond? If
accepted by TTB, the bond is effective according to its terms
on and after the date inserted in the space provided. If no
effective date is inserted, the date of execution (see Item 11)
will be the effective date of the bond.
Item 9: How do I determine the bond amount?
Bond for:
Item 2: What is my premises address? This is the address
where your factory(ies) is(are) located or your export warehouse
is located.
Item 5: What is an Employer Identification Number (EIN)?
This is the nine-digit number that the Internal Revenue
Service assigns to your business. If you do not have an EIN,
you must obtain one from the Internal Revenue Service
(IRS), using IRS Form SS-4.
Proprietor of
export
warehouse
Item 6: What kind of bond do I file?
• An original bond when you start or acquire a business to
operate a tobacco product or cigarette papers and tubes
factory, or an export warehouse.
• A strengthening bond to add more coverage to your
existing bond.
• A superseding bond to replace your previous bond(s) or
to change the collateral filed with your bond.
TTB F 5200.29 (01/2012)
One factory of a
manufacturer of
tobacco
products
(individual
bond)
Dollar ($) amount
Minimum: $1,000 Maximum: $200,000
The amount of the bond may not be less
than the estimated amount of tax that
may, at any time, constitute a charge
against the bond. The amount must
reflect the amount of tax liability on
tobacco products and cigarette papers
and tubes at the export warehouse at any
time, including the amount of tax liability
on products for which satisfactory
evidence of exportation or other
authorized disposition has not been
received by TTB.
Minimum: $1,000 Maximum: $250,000
when manufacturing and/or receiving in
bond:
Cigarettes; or any combination of tobacco
products.
Maximum: $150,000 when manufacturing
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Bond for:
Dollar ($) amount
and/or receiving in bond only one type of
tobacco product other than cigarettes.
The bond shall be not less than the total
amount of tax liability on all tobacco
products manufactured in the factory,
received in bond from other factories and
from export warehouses, and released to
the manufacturer in bond from customs
custody.
1) Determine the amount of an individual
bond for each factory as described
above, AND
2) If the total amount of individual bonds
would be:
More than one
• $250,000 or less, then the amount
factory of a
of the blanket bond will be the total
manufacturer of
of the individual bonds.
tobacco
• More than $250,000 but not more
products,
than $500,000, then the amount of
operating under
the blanket bond is $250,000 plus
multiple permits
50 percent of the total amount that is
(blanket bond)
more than $250,000.
• More than $500,000, then the
amount of the blanket bond is
$375,000 plus 25 percent of the total
amount that is more than $500,000.
Item 11: Must I provide a date when I sign the bond?
Yes, the date on the bond form is the date the Principal and
the surety company, or in the case of a collateral bond, the
Obligor, sign the bond agreeing to the terms of the bond.
Item 11: How must the corporate surety sign this form?
An authorized individual must sign for the corporate surety
and affix the corporate surety's seal in the designated area.
Also, the corporate surety must attach a power of attorney
authorizing the individual who signs on its behalf. The Power
of Attorney Certification date must be the same or later than
the date the bond is signed.
Item 11:
How does the Principal/Obligor sign this bond?
If your
business is a:
a. Your full name; OR
Sole
proprietorship
Item 10b-c: What type of collateral may I submit? Cash in
the form of a certified check or United States postal money
orders, or Treasury Notes or Treasury Bonds. For Treasury
Notes or Treasury Bonds, the maturity date of the notes and
bonds must be two years or more. Note: A security
purchased through Treasury Direct CANNOT be used as
collateral because it cannot be transferred into the
Federal Reserve Bank holding account.
Item 10c:
Where do I get the CUSIP number? The
CUSIP number will be listed as a description on the
document you receive from the bank or broker from whom
your Treasury Note or Bond was purchased. If your note or
bond is with a Federal Reserve Bank they will provide the
CUSIP number and other information.
b. An individual for whom you have filed
TTB F 5000.8, Power of Attorney, that
grants the authority to sign this bond.
a. Each partner; OR
Partnership
b. The partner who has been given the
authority to sign by the Articles of
Partnership or similar agreement of all
the partners that you have filed with
your application for a TTB permit; OR
c. An individual for whom you have filed
TTB F 5000.8, Power of Attorney, that
grants the authority to sign this bond.
Minimum: $1,000 Maximum: $20,000
Bond must equal or exceed the maximum
Manufacturer of tax liability for the total amount of
cigarette papers cigarette papers and tubes manufactured
and tubes
and/or received in bond during any
calendar month.
Signature:
Corporation,
association,
limited liability
company, or
other business
a. An officer who has authority by the
business documents that you have
filed with your TTB application for a
TTB permit; OR
b. An individual for whom you have filed
TTB F 5000.8, Power of Attorney, that
grants the authority to sign this bond.
Item 11: Do I need a seal? If your business is a
corporation, association, or other business, you may have a
seal. A seal is adopted and used by a business for
authenticating its corporate acts and executing legal
instruments. If your business has a seal, affix it on the form
in the designated area of item 11.
Item 11: When do I need two witnesses and what must
they do? If your business has no seal, two witnesses must
sign and testify to the fact that you signed the bond in their
presence. Each witness must print his/her name in addition
to signing his/her name.
PAPERWORK REDUCTION ACT NOTICE
This request is in accordance with the Paperwork Reduction Act of 1995. We use this information to determine whether you are qualified to operate as a
manufacturer of tobacco products, an export warehouse proprietor, or a manufacturer of cigarette papers and tubes. We must identify the manufacturer
or proprietor, the corporate surety, and the penal sum of the bond. The information we request is required for you to obtain a benefit and is mandatory by
law (26 U.S.C. 5711).
We estimate the average burden associated with this collection to be 1 hour and 18 minutes per manufacturer or proprietor, depending on individual
circumstances. Address your comments concerning the accuracy of this burden and suggestions to reduce this burden to: Reports Management Officer,
Regulations and Rulings Division, Alcohol and Tobacco Tax and Trade Bureau, 1310 G Street, NW, Box 12, Washington, DC 20005.
An agency may not conduct or sponsor and you are not required to respond to, a collection of information unless it displays a current, valid OMB control
number.
TTB F 5200.29 (01/2012)
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OMB No. 1513-0103 (12/31/2014)
DEPARTMENT OF THE TREASURY
1. PERMIT NUMBER(S)
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
TOBACCO BOND
(Please read instructions carefully.)
2. PRINCIPAL/OBLIGOR LEGAL NAME AND PREMISES ADDRESS
(Number, Street, City, State, ZIP Code)
3. PRINCIPAL/OBLIGOR MAILING ADDRESS
(If different than Premises Address)
4. BUSINESS CONDUCTED UNDER THIS BOND (check one box only):
Manufacturer of Tobacco Products
Export Warehouse Proprietor
5. EMPLOYER IDENTIFICATION NUMBER (EIN)
Manufacturer of Cigarette Papers and Tubes
6. BOND KIND (check one box only)
Original
7. BOND TYPE (check one box only)
Individual bond
8. BOND EFFECTIVE DATE
Strengthening
Superseding
9. AMOUNT OF THIS BOND
$
Blanket bond
10. BOND CATEGORY (Select only one category (i.e. ‘Surety,’ ‘Cash,’ or ‘Treasury Note/Bond’) and complete corresponding items to right of selection.)
a.
SURETY:
SURETY NAME
BOND NUMBER
b.
CASH:
c.
TREASURY
NOTE/BOND**
CHECK NUMBER(S) (cashier’s check or U.S. postal money order)
CUSIP NO
INTEREST RATE
MATURITY DATE
ISSUE DATE
%
** This bond is secured by the Treasury collateral (T-Note) described above or by a T-Note resulting from reinvestment of the full proceeds from the TNote described above. T-Note collateral reinvestment will automatically occur upon maturity, unless the obligor notifies TTB in writing at least 45
days prior to the maturity date, that the T-Note proceeds should not be reinvested and the obligor requests this bond be terminated.
11. BOND EXECUTION (By signing this document you acknowledge and agree to the terms and conditions described on page 4 of this form.)
We witness our hands and seals this
day of
, 20
. Signed, sealed, and delivered in the presence of--
SURETY NAME
PRINCIPAL/OBLIGOR NAME
SURETY REPRESENTATIVE SIGNATURE
PRINCIPAL/OBLIGOR REPRESENTATIVE SIGNATURE
X
X
SURETY REPRESENTATIVE PRINTED NAME AND TITLE
PRINCIPAL/OBLIGOR REPRESENTATIVE PRINTED NAME AND TITLE
Impress
Surety
Seal
I declare that the surety’s
seal is affixed to this form in
accordance with TTB
regulations.
PRINT/SIGN, WITNESS 1
(If no seal)
Alterations made on this bond
before and after execution were PRINT/SIGN, WITNESS 2
made with the consent of the
(If no seal)
Principal/Obligor __________
I/We declare that the
corporation or LLC seal is
affixed to this form in
accordance with TTB
regulations.
The corporation/LLC
has no seal.
Principal/
Obligor
Seal
and Surety __________.
12. DIRECTOR, NATIONAL REVENUE CENTER APPROVAL: On behalf of the United States, I approve the foregoing bond, which has been executed
in due form in compliance with the applicable laws, regulations, and instructions.
12(a).SIGNATURE OF AUTHORIZED OFFICIAL, ALCOHOL AND TOBACCO TAX AND TRADE BUREAU
12(b). DATE APPROVED
Director, National Revenue Center
TTB F 5200.29 (01/2012)
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TERMS AND CONDITIONS OF THIS BOND
PURPOSE: The above principal/obligor has filed an
application to operate as a manufacturer of tobacco
products or an export warehouse proprietor, or the above
principal/obligor has filed this bond to qualify as a
manufacturer of cigarette papers and/or tubes.
DEFINITIONS:
Principal: A person who is engaged or intends to
engage in a business as a manufacturer of tobacco
products, an export warehouse proprietor, or a
manufacturer of cigarette papers and tubes covered by
a surety bond.
Obligor: A person who is engaged or intends to
engage in a business as a manufacturer of tobacco
products, an export warehouse proprietor, or a
manufacturer of cigarette papers and tubes covered by
a collateral bond.
Collateral bond: A bond secured by tangible assets
such as cash, or United States Treasury Bond or Note.
CONDITIONS: The person who is engaged, or intends to
engage, in a business as a manufacturer of tobacco
products, an export warehouse proprietor, or a
manufacturer of cigarette papers and tubes is identified in
items 1 through 5. Item 2 identifies the premises where
such person is engaged, or intends to engage, in business
as a manufacturer of tobacco products, an export
warehouse proprietor, or manufacturer of cigarette papers
and tubes. We, the manufacturer of tobacco products,
export warehouse proprietor, or manufacturer of cigarette
papers and tubes, and the corporate surety, stated in item
11 on this bond, promise to pay the amount of this bond in
lawful money of the United States to the United States of
America. This bond firmly binds us individually, our heirs,
executors, administrators, successors, and assigns.
LIABILITY: I, as the person who is engaged, or intends to
engage, in the business as a manufacturer of tobacco
products, an export warehouse proprietor, or a
manufacturer of cigarette papers and tubes, agree to pay
the taxes, including penalties and interest, for which I
become liable to the United States under Chapter 52 or
Section 7652 of Title 26 of the United States Code and
promulgating regulations. Until such payments have been
made, this bond remains in full force and effect for the
business identified in items 1 through 5 of this form.
Furthermore, I agree that an installment agreement to pay
such taxes between the United States and myself does not
affect the United States' ability to pursue remedies against
me under this bond.
change which would require me to file an extension of
coverage of bond, which would include a change in
location.
DEFAULT: If the principal of a surety bond fails to fulfill
any of the terms or conditions of this bond, the United
States may seek compensation and pursue its remedies
independently from either the principal or surety, or jointly
from both. The surety hereby waives any right or privilege it
may have of requiring, upon notice, or otherwise, that the
United States will first commence action, intervene in any
action of any nature whatsoever already commenced or
otherwise exhaust its remedies against the principal.
If the Obligor of a collateral bond fails to fulfill any of the
terms or conditions of this bond, the United States may
apply any outstanding tax liability (including any penalties or
interest) against the collateral deposited. TTB may use this
bond’s collateral to satisfy any of my liabilities under this
bond. This authorization is irrevocable.
RELIEF OF CORPORATE SURETY: TTB may relieve a
corporate surety from liability under this bond if the
corporate surety complies with the applicable regulations;
however, the corporate surety remains liable for any
obligations incurred before the date that TTB relieves the
corporate surety in writing from liability under the bond.
The surety may at any time give notice in writing to the
principal and to TTB that it desires to be relieved as to any
future liability incurred by the principal. The notice must be
executed for the surety by an authorized officer or by an
empowered attorney-in-fact. The notice must be
accompanied by proof of service on the principal. The bond
must be terminated as to future liability upon the expiration
of 90 days after the date on which TTB acknowledges in
writing to the surety that TTB has received proof that the
principal has been properly notified. The surety must not
be liable for any obligations that the principal incurs on and
after the termination date of the bond. After the bond is
terminated, the surety must remain bound with respect to
any liability for unpaid taxes, penalties and interest, not in
excess of the amount of this bond, incurred by the principal
prior to the termination date of this bond.
BOND EFFECTIVE DATE: If accepted by the United
States, the bond will be effective according to its terms on
and after the date without notice to the principal/obligor.
Provided, that if no effective date is inserted in the space
provided, the date of execution will be the effective date of
the bond.
COMPLIANCE: If I or the corporate surety do not comply
faithfully in all respects with such laws and regulations
identified in the above paragraph, this bond remains in full
force and effect for the business identified in items 1
through 5 of this form.
CHANGES WHILE BOND IS IN EFFECT: As a
manufacturer of tobacco products or an export warehouse
proprietor, I agree that this bond extends and applies to any
change that requires me to file an application for a new or
amended permit. As a manufacturer of cigarette papers and
tubes, I agree that this bond extends and applies to any
TTB F 5200.29 (01/2012)
4 of 4
File Type | application/pdf |
Author | TTB |
File Modified | 2012-03-23 |
File Created | 2011-10-04 |