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Application for New Brewery, Micro Brewery, or Brewpub
Contacts &
1 Location

2 Application
Information

Business

3 Information

Review and

4 Submit

5 Record Submittal

Step 3 : Business Information > Business Info & Documents
* indicates a required field.

Application Information

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BREWERY OPERATION INFO
This section pertains to your proposed brewing operations and premises.

Our brewery is a Brewery/Microbrewery: *
Brewpub (Tanks): *
Brewpub (Bottles/Kegs): *
* Does the applicant own the land or
building comprising the brewery?:

Yes

No

Yes

No

If yes, please provide us with the name and
address of any mortgagee, or other person
who has a claim on the land or buildings
comprising the brewery. If there is no
mortgagee, or other claim on the land or
buildings, please enter "Not Applicable":
If no, please provide us with the
name/address of the owner of the land or
buildings comprising the brewery, and of
any mortgagee, or other claim on the land or
buildings comprising the brewery: *
* Does the applicant own the equipment that will
be used in the operation?:
If no, please provide name and address of the
equipment owner: *

Enter the Start Time of your 24 hour brewers
business day if different than 12:00am
through 11:59pm:

12:00am

BREWPUB STATEMENT
If you marked that you are a brewpub, you must understand that your entire business location is the brewery premises. You must complete the following
statements related to your brewpub operations acknowledging an understanding of the responsibilities and definitions of this designation.

We must separate the brewery operations (nonpublic area) from public area of the brewery
premises by an adequate partition. Access to the
brewery operations must be restricted to
authorized visitors and employees only: *
The serving tanks as noted on our attached
diagram are our tax-determined beer tanks: *
These tanks have a working capacity of
approximately how many barrels/kegs: *
Capacity measured in: *

--Select--

These tanks are accurately calibrated with
appropriate measuring devices: *
We must transfer beer ready for consumption or
sale from our fermenters into an empty taxdetermination tank for measurement by the
approved measuring device: *
We will make prompt and accurate records of
these transactions to determine tax due: *
Does the applicant plan to sell retail liquors other
than beer?: *

Yes

No

BREWERY INFORMATION
In this section, you will provide information pertaining to your status as a member of a controlled group, estimated production, the description of the brewery,
and the security of the brewery premises at the physical location and address where your approved operations will take place.

* Are you a member of a controlled group of
breweries?:

Yes

No

Will the controlled group produce more than
60,000 but less than 2,000,000 barrels of beer per
year?:

Yes

No

* What is your estimated production in barrels
per year?. If you produce between 60,000 and
2,000,000 barrels per year, you are entitled to the
reduced rate of tax on the first 60,000 barrels
removed for consumption or sale. If you produce
less than 60,000 barrels per year, you are entitled
to the reduced tax rate on all beer removed for
consumption or sale:

--Select--

* Describe each tract of land comprising the
brewery, and a listing of each brewery building
by its designated letter or number, giving the
approximate ground dimensions and the
purpose for which ordinarily used:
* Describe the layout of the brewery premises,
including the location of the equipment, tanks,
bottling lines, doors, windows, loading docks,
empty keg storage, and packaged goods storage
areas, including dimensions. This description
will assist TTB in interpreting the Diagram
submitted with the application:
If a brewpub, you must identify the portion of the
brewery which will be operated as a tavern by
providing the boundaries of the tavern. You must
identify areas of the brewery which are
accessible to the public and areas which are not.
Describe security measures to be used to
segregate public areas from non-public areas.
Describe in detail the method to be used for
measuring beer for the purpose of tax
determination. Identify the tanks which will
periodically contain tax-determined beer, and
any other areas where tax-determined beer will
be stored: *
Describe any areas which will be alternated, as

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Application Information

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MEMBERS OF CONTROLLED GROUP
Complete this table for each brewery location which is part of a controlled group. Select "Add row" for each brewery location being added. Contact TTB for
more information about this table at 1-855-TTB-PONL (1-855-882-7665) M-F 8am - 4pm EST or click here to access the PONL Customer Reference
Guide.

* Employer Identification Number:

* Registry Number:

* Company Name:

* Brewery Location:

* Barrels of Beer at Reduced Rate per year:

Delete row

Add row

NON-CONTIGUOUS LOCATIONS
A Non-Contiguous premises situation occurs when a brewery premises proprietor wishes to use nearby location(s) (within a 10-mile driving distance from
the brewery), which is physically separated from each other. The Non-Contiguous premise(s) must be part of one integrated operation and should not be a
stand-alone operation.

* Non-contiguous Location
Address:

* Description of Non-contiguous
Premises:

* Distance from the Primary Operation in
miles:

* Operation Conducted:

Delete row

Add row

BREWERS BOND
A brewery filing an original application must submit a bond with sufficient bond coverage. You may also file a new bond to reflect a new penal sum,
switch in bond category (Surety, Cash, Treasury Security), or a change in surety company. If you are filing for a Change of Location, you may either submit
a Superseding Bond within this table or a Consent of Surety form in a different table. If you are filing to add/remove a Non-contiguous location, you may
also submit a Superseding Bond within this table. Select "Add Row" if you have more than one bond. Click here for additional instruction for submitting this
information to TTB. Contact TTB for more information about this table at 1-855-TTB-PONL (1-855-882-7665) M-F 8am - 4pm EST or click here to access
the PONL Customer Reference Guide.

* Bond Kind:

* Effective Date of Bond:

* Amount of Bond:

If Surety - Surety Name:

If Surety - Bond Number:

If Cash - Check Number:

Treasury Security - CUSIP Number:

Treasury Security - Maturity Date:

Treasury Security - Interest Rate:

Treasury Security - Par Value:

Treasury Security - Issue Date:

Federal Reserve Bank where deposited:

* Execution Date:

Expiration Date:

--Select--

0

* Bond Category:
--Select--

St. Louis, MO

Delete row

Add row

CONSENT OF SURETY
Complete this table to add information about a Consent of Surety that is needed if you are conducting certain operations not covered by your Bond.
Sample language and a listing of the typical situations where a Consent of Surety might be needed can be found here . IF YOUR APPLICATION IS NOT
RELATED TO ONE OF THESE TYPES OF CHANGES, SKIP THIS SECTION.
Select "Add row" for each Consent of Surety being added. Contact TTB for more information or support about this section at 1-855-TTB-PONL (1-855-8827665) M-F 8am - 4pm EST or click here to access the PONL Customer Reference Guide.

What is the corporate surety,
if any, listed on the bond that
you are changing?:

What is the form number of the bond that you are changing?:

What is the effective date of
the bond that you are
changing?:

What is the effective date of this change in bond?:

--Select--

What is the dollar amount
of the bond that you are
changing?:
We are changing the
above bond as follows::

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Attachment
Use the Attachment table to upload supplemental documents. Select "Upload a New Attachment" for each supplemental document
that you are uploading. Contact TTB for more information or support about this table at 1-855-TTB-PONL (1-855-882-7665) M-F 8am 4pm EST or click here to access the PONL Customer Reference Guide.

Attachment List
Files can be up to 16MB in size. Acceptable file types include .doc, .docx, .pdf, .jpg, .xls, .xlsx
Name
No records found.

Type

Size

Date

Action

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