Form TTB F 5110.67 TTB F 5110.67 Continuing Transportation Bond--Distilled Spirits and Wi

Specific and Continuing Transportation Bonds - Distilled Spirits or Wines Withdrawn for Transportation to Manufacturing Bonded Warehouse, Class Six

TTB F 5110.67 (01-2020 Renewal)

Continuing Transportation Bond - Distilled Spirits and Wines Withdrawn for Transportation to Manufacturing Bonded Warehouse, Class Six

OMB: 1513-0031

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OMB No. 1513-0031 (xx-xx-xxxx)
DEPARTMENT OF THE TREASURY - ALCOHOL AND TOBACCO TAX AND TRADE BUREAU

CONTINUING TRANSPORTATION BOND - DISTILLED SPIRITS AND WINES WITHDRAWN FOR
TRANSPORTATION TO MANUFACTURING BONDED WAREHOUSE - CLASS SIX
(File in duplicate. See instructions on page 2.)

PRINCIPAL (See instructions 2, 3, and 4)

BUSINESS OFFICE ADDRESS (Number, street, city, State, and ZIP code)

SURETY (or SURETIES)

WAREHOUSE NUMBER

AMOUNT OF BOND

EFFECTIVE DATE

LOCATION OF WAREHOUSE (Number, street, city, State, and ZIP code)

KNOW ALL MEN BY THESE PRESENTS, that we the above-named principal and surety (or sureties) are held and firmly bound unto the United States
of America in the above-named amount, lawful money of the United States; for the payment of which we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents.
The bond will not in any case be effective before the above-named date, but if accepted by the United States it will be effective according to its terms
on and after that date without notice to the obligors: provided, that if no date is inserted in the space above provided therefore, the date of execution
hereof will be the effective date.
WHEREAS, the principal is the proprietor of the Manufacturing Bonded Warehouse, Class Six, described above, established and bonded under the
provisions of Chapter 51 of Title 26 of the United States Code and of the Tariff Act of 1930, as amended; and
WHEREAS, the principal intends to withdraw from time to time from the distilled spirits plants and/or bonded wine cellars herein specified, certain
distilled spirits and/or wines, without payment of tax, for transportation to and deposit in the Manufacturing Bonded Warehouse:
(List below the name, kind of plant, plant or registry number, and address of each distilled spirits plant and/or bonded wine cellar from which withdrawals are to be made.) Where this bond is given in less than the maximum penal sum to cover withdrawals from more than one premises, the principal
must, (1) if he intends to withdraw both distilled spirits and wines, apportion the coverage between distilled spirits and wines, and (2) when distilled
spirits are to be withdrawn from more than one premises, as to the distilled spirits coverage, designate the premises at which the account with the bond is
to be maintained, or allocate to each premises the amount of bond coverage.)

(Use space below or attach a separate sheet if necessary)
NOW, THEREFORE, the conditions of this bond are such that —
1.

If the distilled spirits and/or wines so withdrawn are duly transported to and deposited in the manufacturing bonded warehouse aforesaid, as required
by law and regulations; and

2.

If the principal has, as to such distilled spirits and/or wines, or any part thereof, not so transported and deposited, or otherwise lawfully disposed
of or accounted for, paid to the United States the tax imposed thereonby law now or hereafter in force, together with penalties and interest;

Then this obligation is to be null and void, but otherwise to remain in full force and effect.
We, the obligors, for ourselves, our heirs, executors, administrators, successors, and assigns, do further covenant and agree that upon the breach of any of
the covenants of this bond, the United States may pursue its remedies against the principal or surety independently, or against both jointly, and the said
surety hereby waives any right or privilege it may have of requiring, upon notice, or otherwise, that the United States must first commence action, intervene in any action of any nature whatsoever already commenced, or otherwise exhaust its remedies against the principal.
WITNESS our hands and seals this

day of

, 20

Signed, sealed, and delivered in the presence of —

SEAL
SEAL
SEAL
SEAL
SEAL
SEAL
KIND OF BOND (Check applicable item)
item)

___ STRENGTHENING

___ ORIGINAL

TTB F 5110.67 (01/2020)

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___ SUPERSEDING

FOR TTB USE ONLY
On behalf of the United States, I approve the foregoing bond which has been executed in due form and in compliance with the applicable laws,
regulations, and instructions.
SIGNATURE OF DIRECTOR, NATIONAL REVENUE CENTER, ALCOHOL AND TOBACCO TAX AND TRADE BUREAU

DATE APPROVED

INSTRUCTIONS
1. This bond must be filed in duplicate with the Director, National
Revenue Center, Alcohol and Tobacco Tax and Trade Bureau, 550 Main
St., Ste. 8002, Cincinnati, OH 45202-5215, for the bonded premises from
which the liquors are to be withdrawn.
2. The name, including the full given name, of each party to the bond
must be given in the heading, and each such party must sign the bond
with his/her signature, or the bond may be executed in his/her name by a
duly empowered attorney-in-fact.
3. In the case of a partnership, the trade name of the firm, followed by
the names of all the members thereof, must be given in the heading. In
executing the bond the firm name must be typed or written followed by
the word "by" and the usual signatures of all partners, or the signature of
any partner duly authorized to sign the bond in behalf of the firm, or by a
duly empowered attorney-in-fact.
4. If the principal is a corporation, the heading must give the corporate
name, the name of the State under the laws of which it is organized, and
the location of the principal office. The bond must be executed in the
corporate name, immediately followed by the signature and title of the
person duly authorized to act for the corporation.
5. If a bond is signed by an attorney-in-fact for the principal, or by one
of the members for a partnership or association, or by an officer or other
person for a corporation, there must be filed with the bond a duly
authenticated copy of the power of attorney, resolution of the board of
directors, excerpt of the bylaws, or other document, authorizing the person
signing the bond to execute it on behalf of the principal, unless such
authorization has been previously filed with the Director, National Revenue
Center, Alcohol and Tobacco Tax and Trade Bureau, in which event a
statement to such effect must be attached to the bond.

6. The signature for the surety must be attested under corporate
seal. The signature for the principal, if a corporation, must also be so
attested if the corporation has a corporate seal; if the corporation has
no seal that fact should be stated. Each signature must be made in the
presence of two witnesses (except where corporate seals are affixed),
who must sign their names as such.
7. A bond may be given with corporate surety authorized to act as
surety by the Secretary of the Treasury, or by deposit of collateral
security. Only public debt obligations of the Untied States, the principal
and interest of which are unconditionally guaranteed by the United States
Government, are acceptable as collateral security (31 U.S.C. 9301, 9303).
A list of securities acceptable as collateral in lieu of surety bonds is
available from the Bureau of the Public Debt, Office of the Commissioner,
Government Securities Regulations Staff.
8. If any alteration or erasure is made in any bond before its execution
there must be incorporated in the bond a statement to that effect by the
principal and surety or sureties; or if such alteration or erasure was made
after the bond was executed, the consent of all parties there-to must be
written in the bond.
9. The penal sum named in the bond must be in accordance with 27
CFR Part 28.
10. If the bond is approved, a copy will be returned to the principal.
11. All correspondence about the filing of this form or any subsequent
action, including termination, affecting this bond should be addressed to
the Director, National Revenue Center, Alcohol and Tobacco Tax and
Trade Bureau, with whom the bond is filed. The record retention period is
2 years.

PAPERWORK REDUCTION ACT NOTICE
This request is in accordance with the Paperwork Reduction Act of 1995. The purpose of this information collection is to
protect Federal excise taxes. The information is used to determine compliance by payment on taxpaid commodities. The
information requested is mandatory by statute (19 U.S.C. 1311).
The estimated average burden associated with this collection of information is 1 hour per respondent or recordkeeper
depending on individual circumstances. Comments on the accuracy of this burden estimate and suggestions for reducing this
burden should be addressed to the 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 a person is not required to respond to, a collection of information unless it
displays a current, valid OMB control number.

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TTB F 5110.67 (01/2020)


File Typeapplication/pdf
AuthorTTB
File Modified2020-01-22
File Created2005-05-12

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