Form TTB F 5100.25 TTB F 5100.25 Specific Export Bond -- Distilled Spirits or Wine

OMB No. 1513-0135 (xx-xx-xxxx)

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

SPECIFIC EXPORT BOND - DISTILLED SPIRITS OR WINE
(File in duplicate. See instructions below)
1. PRINCIPAL (See instructions 2, 3, and 4)

2. ADDRESS OF BUSINESS OFFICE (Number, street, city, ZIP
code)

3. SURETY (OR SURITIES)

4. AMOUNT OF BOND 5. EFFECTIVE DATE

6. APPLICATION MADE TO WITHDRAW FROM
Distilled Spirits Plant
8. PROPRIETOR

(Number)

Bonded Wine Cellar

7. APPLICATION MADE TO WITHDRAW
Distilled Spirits

Wines

9. LOCATED AT (Number, street, city, 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 amount, lawful money of the United States for the payment of which we bind ourselves, our
heirs, executors, administrator, successors, and assigns, jointly and severally, firmly by these presents.
This bond will not in any case be effective before the above 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 effective date is inserted in the space provided, the date
of execution shown below will be the effective date of the bond.
WHEREAS, the principal has made application to withdraw from the distilled spirits plant or bonded wine cellar specified above, the
following described distilled spirits or wines, without payment of tax, for exportation, or for use on vessels or aircraft, or for transfer to
and deposit in a foreign-trade zone, or for transfer to a customs bonded warehouse:
NUMBER OF PACKAGES
AND KIND OF LIQUOR

MARKS AND IDENTIFYING NUMBERS OF
CONTAINERS, BARRELS, CASES, TANK CARS,
ETC.

WINE
GALLONS

PROOF
GALLONS

AMOUNT OF
TAX

NOW, THEREFORE, the conditions of this bond are such that IF THE PRINCIPAL WILL, as to all distilled spirits or wines withdrawn
from the bonded premises with payment of tax for exportation, or for use on vessels or aircraft, or for transfer to foreign-trade zone, or
for transfer to a customs bonded ware-house,
1. Faithfully comply with all the requirements of law and regulations pertaining thereto: and
2. As to such distilled spirits or wines, or any part thereof, withdrawn for exportation or for use on vessels or aircraft or for transfer to a
foreign-trade zone or for transfer to a customs bonded warehouse, and no so exported, used, deposited, or transferred, or otherwise
lawfully disposed of or accounted for, pay to the United States all taxes imposed by law now or hereafter in force, together with
penalties if any, and interest;
Then this obligation is to 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 Unites States will first commence action, intervene in any action of any nature whatsoever already commenced, or
otherwise exhaust its remedies, against the principal.
TTB F 5100.25 (03/2018)

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WITNESS our hands and seals this

day of

, 20

.

Signed, sealed, and delivered in the presence of (SEAL)
(SEAL)
(SEAL)
(SEAL)
(SEAL)
The foregoing bond, having been executed in due from and in compliance with the applicable law, regulations, and instructions, is
approved by me on behalf of the United States.
10. DATE APPROVED
Director, National Revenue Center, Alcohol and Tobacco Tax and Trade Bureau
INSTRUCTIONS
1. This bond must be filed in duplicate with the Director, National
Revenue Center, Alcohol and Tobacco Tax and Trade Bureau,
550 Main Street, Ste. 8002, Cincinnati, OH 45202-5215.
2. The name, including the full given name, of each party to the
bond must be given in the heading, and each party must sign the
bond, or the bond may be executed in his name by an empowered
attorney-in-fact.
3. In the case of a partnership, the firm name, followed by the
names of all its members, 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 signatures of all partners, or the
signature of any partner authorized to sign the bond for the firm, or
the Signature of an 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 authorized to act for the
corporation.
5. If the 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 and authenticated copy of the power of attorney, or a
resolution of the board of directors, or an excerpt of the bylaws, or
other document, authorizing the person signing the bond to
execute it for the principal. If this authorization has been filed with
the Director, National Revenue Center, Alcohol and Tobacco Tax
and Trade Bureau, a Statement to that 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 persons (except where corporate seals are
affixed ), who must sign their names as witnesses.
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).
Lists of approved surety companies and securities acceptable
as collateral in lieu of surety bonds are available from the
Bureau of the Fiscal Service at https://
www.fiscal.treasury.gov.
8. If any alteration or erasure is made in the bond before its
executing, there must be incorporated in the bond a
statement to that effect by the principal and surely or sureties.
If any alteration or erasure is made in the bond after its
execution, the consent of all parties thereto 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.

PAPER REDUCTION ACT NOTICE
This request is in accordance with the Paperwork Reduction Act of 1995.The purpose of this information collection is for
the protection of Federal excise taxes. The information will be used to determine compliance by payment on untaxpaid commodities.
The information required is mandatory by statute (26 U.S.C. 5175, 5214, 5362).
The estimated average burden associated with this collection of information is 1 hour per respondent or recordkeeper, depending on
individual circumstances. Comments concerning 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.

TTB F 5100.25 (03/2018)

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