TTB F 5130.26sm Quarterly Brewer's Report of Operations (Smart Form)

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OMB No. 1513–0007

Our brewery’s EIN is:

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

Our TTB brewery number is:
BRTTB can reach the brewery by calling:

QUARTERLY BREWER’S REPORT OF OPERATIONS
What is the name of your brewery?

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

(City)

(County)

(State)

(Zip Code)

Reporting Period (enter year)
This quarterly report is for:

 January–March

 April–June

 July–September

 October–December

Part 1 – Beer Summary

Number of Barrels
Additions to Beer Inventory

Number of Barrels
Removals from Beer Inventory

(round to the nearest
second decimal)

1. Total amount of beer on hand at beginning
of quarter (see #17 from last quarterly report
or #33 from TTB F 5130.9. If this is the first
report for this brewery, enter “0”.)
2. Total amount of beer produced by
fermentation, plus total amount of water or
other liquids added

(round to the nearest
second decimal)

10. Beer removed for consumption or sale
including beer removed tax determined for
consumption or sale in a tavern on brewery
premises
11. Beer removed without payment of tax as
outlined under Subpart L of 27 CFR part 25
(see Instruction #12)
12. Beer consumed on premises (see Instruction
#13)
13. Beer destroyed on premises (see Instruction
#14)
14. Losses, including theft (see Instruction #15)
15. Physical inventory disclosed a shortage (see
Instruction #15)

3. Beer received in bond (see Instruction #10)
4. Beer returned to the brewery after removal
from the brewery (see Instruction #11)
5. Physical inventory disclosed an overage
6.
7.

16.

8. Total additions to inventory, plus beer on
hand (add lines 1 through 7)
9. Adjustments to additions from a prior
reporting period (see Instruction #17)

0.00
(+)

(-)

17. Total amount of beer on hand at end of
quarter (see Instruction #16 )
18. Adjustments to removals from a prior reporting
period (see Instruction #17)
19. Total beer (see Instruction #18)

(+)

(-)

0.00

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

Bbls.

4. Received

Bbls.

2. Removed

Bbls.

5.

Bbls.

3. Loss and wastage

Bbls.

6. Total on hand at end of quarter

0.00

Bbls.

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

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

TTB F 5130.26sm (10/2014)

Title

Page 1 of 1

See Instructions and Paperwork Reduction Act Notice on TTB F 5130.26i.

Date