Form TTB F 5000.8 TTB F 5000.8 Power of Attorney

OMB No. 1513-0014 (06/30/2019)

DEPARTMENT OF THE TREASURY

ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)

POWER OF ATTORNEY

(Please read instructions before completing this form)
1.

PRINCIPAL

(Name of Partnership, Corporation, Association, Limited Liability Company, Estate, or Individual)

2.

BUSINESS IN WHICH ENGAGED

3. ADDRESS (Number, Street, City, State, ZIP Code), TELEPHONE NUMBER, AND E-MAIL ADDRESS

4.

PRINCIPAL'S EMPLOYER IDENTIFICATION NUMBER

Identification Number or Social Security Number)

(Employer

5.

PERMIT NUMBER / REGISTRY NUMBER (If applicable)

6.

NAME, TELEPHONE NUMBER, AND E-MAIL ADDRESS OF APPOINTED ATTORNEY

7.

ADDRESS (Number, Street, City, State, and ZIP Code)

8.

The above named principal, engaged in the business shown, has appointed the above named attorney to: (See Instruction 2)

(a) Execute for him/her all applications, notices, bonds, tax returns, tax information disclosure authorizations, and other instruments, claims, offers in
compromise, letters, writings, and papers, and to act for him/her in dealing with the Alcohol and Tobacco Tax and Trade Bureau (TTB) in connection with
matters relating to the laws and regulations administered by it. The principal authorizes the attorney named above to receive on his/her behalf any and
all notices, papers, and letters from the Alcohol and Tobacco Tax and Trade Bureau in connection with all such matters, and grants him/her full power
and authority to do all that is essential in and about the premises, as duly as the principal could do if personally present, with full power of substitution and
revocation. The principal hereby ratifies and confirms all that the attorney must lawfully do or cause to be by virtue of this appointment.
(b) Authorization limited to:

9. The power is to apply to the following. (If authority is restricted to a particular factory, plant, premises, etc., give name as: Distilled Spirits Plant, Tobacco
Products Factory, Tobacco Export Warehouse, etc., and address and registry number; or, if a Wholesale Liquor Dealer, SDA, or Tax-Free Alcohol User; or
if this Power of Attorney may be used for manufacturing or importing firearms or ammunition, etc., give permit number.)

DATE

10. SIGNATURE OF APPOINTED ATTORNEY

EXECUTION (See Instruction 3)
11. SIGNATURE IF PRINCIPAL IS INDIVIDUAL (Signature of Principal)

12. SIGNATURE IF PRINCIPAL IS PARTNERSHIP, LIMITED LIABILITY PARTNERSHIP (LLP), ESTATE,

CORPORATION, LIMITED LIABILITY COMPANY (LLC), OR ASSOCIATION.
Under penalties of perjury, I declare that I have the authority to execute this power of attorney on behalf
of the principal.

Signature

Title

Date

Signature

Title

Date

DATE

13. Seal of Corporation, Association, or LLC (A
corporation, association or LLC will impress
their seal below if they have one. If there is no
seal, check the “Not Applicable box”. The
person(s) signing in Items 11 or 12 must have
been granted signing authority (other than
Power of Attorney) on another document
previously approved or accepted by TTB).
Not Applicable

Signature

Title

Date

Signature

Title

Date

TTB F 5000.8 (02/2016)

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14a . ACKNOWLEDGMENT

14. ACKNOWLEDGMENT, WITNESSING, OR DECLARATION (Complete 14a, 14b, or 14c)
14b . WITNESSING

The above-named person(s) signing as or for the principal(s)
appeared before me today and acknowledged this power of attorney
as his/her/their voluntary act and deed. The notarial seal must be
affixed unless a seal is not required under the laws of the state where
the power of attorney is executed.
Signature of Notary or Other Officer
NOTARIAL SEAL
(If required)
Date
Title

This power of attorney was signed by or for the principal(s) by a person
or persons known to, and in the presence of, the two disinterested witnesses whose signatures appear below:

Signature of Witness

Date

Signature of Witness

Date

14c. DECLARATION by attorney or certified public accountant who is granted the power of attorney by this form.
I declare that I am currently: (Check applicable box)
A member in good standing of the bar of the highest court of 1
Qualified to practice as a certified public accountant in1
1

Insert Name of State, Possession, or District of Columbia

Printed Name

Signature

Date

FOR TTB USE ONLY
DATE RECEIVED FOR FILING

TTB OFFICE

RECEIVED BY (Signature and Title)

INSTRUCTIONS
The additional copies will be filed in the same manner as when the
GENERAL. This form is filed with TTB to show the appointed attorney
power of attorney relates to only one establishment or business.
is to represent the principal.
Copies reproduced by photographic process need not be certified as
2. ITEM 8. A full power of attorney is granted by paragraph 8(a). The power
copies of the original.
of attorney may be limited or restricted by deleting all of paragraph 8(a)
5. ORIGINAL OF A RULING. The Alcohol and Tobacco Tax and Trade
and listing the specific powers to be conferred in section 8(b).
Bureau will give to an appointed attorney the original of a ruling
3. EXECUTION. This form must be signed by or on behalf of the principal(s)
concerning the principal about TTB matters if a statement is made to
as follows:
that effect in item 8(b).
(a) INDIVIDUAL by his or her completion of item 11.
6. REVOCATION. A power of attorney remains in effect until revoked by
(b) PARTNERSHIP, LIMITED LIABILITY PARTNERSHIP (LLP) by
the principal in written notice to the Director, National Revenue Center.
completion of item 12 by all partners, or one partner who attaches
his/her authorization to act on behalf of all the partners unless this
7. RULES. All persons representing clients before the Alcohol and
authorization is provided by State law.
Tobacco Tax and Trade Bureau must comply with the regulations
governing representation (26 CFR Part 601 or those regulations as
(c) CORPORATION or ASSOCIATION by completion of items 12 and 13,
recodified in 27 CFR Part 71) and any other applicable rules and
an officer authorized by supporting corporate or organizational
statutes.
documents (preferably the president, vice-president, or treasurer; or
LLC member or manager), must sign in item 12.
PAPERWORK REDUCTION ACT NOTICE
(d) ESTATE by completion of item 12 by the executor or administrator and
This request is in accordance with the Paperwork Reduction Act of 1995.
attaching other such documents as may be required by TTB.
The information collection is used by TTB to ensure that only duly
(e) LIMITED LIABILITY COMPANY (LLC) by completion of item 12 by all
authorized individuals are signing documents. The information is voluntary.
members or managers, or one member or manager who attaches his/
The estimated average burden associated with this collection of information
her authorization to act on behalf of the LLC.
is 30 minutes per respondent or recordkeeper, depending on individual
4. FILING. This form must be completed in duplicate, unless otherwise
circumstances. Comments concerning the accuracy of this burden
required, and submitted to the Director, National Revenue Center,550
estimate and suggestions for reducing this burden should be addressed to
Main St., Ste. 8002, Cincinnati, OH 45202-5215. The original with any
the Reports Management Officer, Regulations and Rulings Division, Alcohol
attachments will be retained by the Director, National Revenue Center,
and Tobacco Tax and Trade Bureau,1310 G St., NW, Box 12, Washington,
and all other copies will be returned to the principal. If the power of
DC 20005.
attorney is applicable to more than one business establishment, additional
An agency may not conduct or sponsor, and a person is not required to
copies must be submitted for each.
respond to, a collection of information unless it displays a current, valid
OMB control number.
1.

Privacy Act Information
1.
2.
3.

4.
5.

AUTHORITY. TTB requests the information on this form to carry out the requirements of the Internal Revenue Code of 1986 and the Federal Alcohol
Administration Act since signatures are required on various returns and other documents required by those laws. See, 26 U.S.C. 6061(a) and 27 U.S.C.
204(c). The provision of the information on this form is voluntary.
PURPOSES. TTB collects the information on this form to ensure that only duly authorized individuals are signing documents submitted to TTB and to
establish the extent of the designee’s authority.
ROUTINE USES. The information will be used by TTB to make determinations set forth in paragraph 2 above. TTB officers may disclose the information
to individuals to verify its accuracy where such disclosure is not prohibited by law. TTB officers may also disclose this information to other Federal, State,
foreign, or local law enforcement and regulatory agency personnel for purposes of enforcement of the laws of such other agencies where not otherwise
prohibited by law. The information may be disclosed to the Justice Department if the information appears to be false or misleading.
EFFECTS OF NOT SUPPLYING INFORMATION REQUESTED. Although the provision of the information on this form is voluntary, TTB may delay or
deny the approval of the form where information is not complete or missing.
DISCLOSURE OF EMPLOYER IDENTIFICATION NUMBER AND SOCIAL SECURITY NUMBER. You do not have to supply these numbers. These
numbers are used to identify an individual or business. If you do not supply the numbers, however, processing may be delayed.

TTB F 5000.8 (04/2016)

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