Form TTB F 5130.9 TTB F 5130.9 Brewer's Report of Operations

OMB No. 1513-0007 (01/31/2014)
Our Brewery EIN is:

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

BREWER’S REPORT OF OPERATIONS

Our TTB Brewery Number is:
BRTTB can reach the brewery by calling:
(

)

What is the name of your brewery?
What is the location of your brewery?
(Number & Street)

(City)

(County)

(State)

(ZIP Code)

Reporting Period (enter year)
Monthly Report for (enter month)

Operations
(a)

OR

Quarterly Report for:

January - March

July - September

April - June
October - December
Part 1 - Beer Summary
Cellar
Racking
Bottling
Totals
Bulk
Keg
Bulk
Case
(b)
(g)
(c)
(d)
(e)
(f)

Additions to Beer Inventory (round your entries to the nearest second decimal)
1. On hand beginning of this report period (see line 33 totals
from last monthly report or line 17 from last quarterly report)
2. Beer produced by fermentation
3. Addition of water and other liquids
4. Beer received from racking and bottling
5. Beer received in bond (see Instruction #10)
6. Beer received from cellars
7. Beer returned to this brewery after removal from this
brewery (see Instruction #11)
8. Beer returned to the brewery after removal from another
brewery of same ownership (see Instruction #11)
9. Racked
10. Bottled
11. Physical inventory disclosed an overage
12.
13. Total additions to inventory, plus beer on hand
(add all columns in lines 1 through 12)
Removals from Beer Inventory (round your entries to the nearest second decimal)
14. Removed for consumption or sale (see Instruction #7)
15. Removed tax-determined for consumption or sale to tavern
on brewery premises (see Instruction #12)
16. Removed without payment of tax for export
17. Removed without payment of tax for use as supplies
(vessels/aircraft)
18. Removed without payment of tax for use in research and
development
19. Removed without payment of tax to other breweries and
pilot brewing plants of same ownership
20. Removed without payment of tax as beer unfit for sale
removed for use in manufacturing
21. Beer consumed on premises (see Instruction #12)
22. Beer transferred for racking
23. Beer transferred for bottling
24. Beer returned to cellars
25. Beer racked
26. Beer bottled
27. Laboratory samples
28. Beer destroyed at brewery (see Instruction #13)
29. Beer transferred to a distilled spirits plant
30. Losses, including theft (see Instruction #14)
31. Physical inventory disclosed a shortage (see Instruction #14)
32.
33. Total amount of beer on hand at the end of this period
(see Instruction #15)
34. Total beer (see Instruction #16)
TTB F 5130.9 (09/2013)
Page 1 of 2
See instructions and Paperwork Reduction Act Notice on TTB F 5130.9i.

Prior Period Adjustments (see instruction #16)
35. Additions to beer inventory

(+)

(-)

36. Removals from beer inventory

(-)

(+)

Under penalties of perjury I declare that this report is supported by true, complete, and correct records that are available for inspection at my
brewery. I have examined this report and to the best of my knowledge and belief it is true, complete, and correct.

Signature

Title

Date

Part 2 - Cereal Beverage Summary
(products that are less than 0.5% alcohol by volume)
1. Produced

Bbls.

4. Loss and wastage

Bbls.

2. Removed

Bbls.

5.

Bbls.

3. Received

Bbls.

6. Total on hand end of period

Bbls.

Part 3 – Remarks
(Add remarks below or on a separate piece of paper attached to this form)

TTB F 5130.9 (09/2013)
See instructions and Paperwork Reduction Act Notice on TTB F 5130.9i.

Page 2 of 2