TTB 5110.56 Distilled Spirits Bond

OMB No. 1513-0125
TYPE OF BOND PER 26 U.S.C. 5173 and 5181
(Check applicable box 1, 2, 3, OR 4)

DEPARTMENT OF THE TREASURY
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU

1. OPERATIONS (Select (a), (b), or (c) below)

DISTILLED SPIRITS BOND

(a) ONE PLANT BOND

(See instructions on Page 4)

(b) ADJACENT WINE CELLAR BOND

PRINCIPAL/OBLIGOR (See instructions 2, 3, and 4.)

(c) AREA BOND
2. WITHDRAWAL BOND
3. UNIT BOND

ADDRESS OF BUSINESS OFFICE (Number, Street, City, State, ZIP Code)

4. ALCOHOL FUEL PRODUCER BOND
BOND KIND (Select only one)
ORIGINAL
STRENGTHENING
SUPERSEDING
AMOUNT OF BOND

EIN:

EFFECTIVE DATE

BOND CATEGORY (Select only one category (i.e. ‘Surety,’ ‘Cash,’ or ‘Treasury Note/Bond’) and complete corresponding items to right
of selection)
SURETY:
CASH

SURETY NAME
BOND NUMBER
CHECK NUMBER(S) (i.e. personal check, cashier’s check, money order, etc.)

NOTE/BOND CUSIP NO.
TREASURY
NOTE/BOND**
NOTE/BOND MATURITY DATE

NOTE/BOND INTEREST RATE

%

NOTE/BOND ISSUE DATE

**This bond is secured by the Treasury collateral (T-Note) described above or by a T-Note resulting from reinvestment of the full
proceeds from the T-Note described above. T-Note collateral reinvestment will automatically occur upon maturity unless the obligor
notifies TTB in writing at least 45 days prior to the maturity date that the T-Note proceeds should not be reinvested and the obligor
requests this bond be terminated.
BOND EXECUTION %\VLJQLQJWKLVERQG\RXDFNQRZOHGJHDQGDJUHHWRWKH7HUPVRI7KLV%RQGRQSDJHRIWKLVIRUP
Witness our hands and seals this

day of

SURETY NAME

, 20

. Signed, sealed and delivered in the presence of --

PRINCIPAL/OBLIGOR NAME
PRINCIPAL/OBLIGOR REPRESENTATIVE’S SIGNATURE

By:
SURETY REPRESENTATIVE SIGNATURE

PRINCIPAL/OBLIGOR REPRESENTATIVE’S PRINTED NAME/TITLE

SURETY REPRESENTATIVE PRINTED NAME & TITLE

SIGNATURE, WITNESS 1 (If no seal)
SIGNATURE, WITNESS 2 (If no seal)
CORPORATIONS/PARTNERSHIPS, OR LLC SEALS
State in which Principal/Obligor organized:

Impress
Surety
Seal

Impress Principal/Obligor’s corporate or
LLC seal or select the checkbox below

The corporation/LLC has no seal.
TTB F 5110.56 (08/2017)

PAGE 1 OF 4

Principal/
Obligor
Seal

EXECUTION DATE

PRINCIPAL/OBLIGOR

NAME AND PREMISES ADDRESS

OPERATIONS COVERAGE
(State activities at each
premises and the amount of
coverage for such activities.)

REGISTRY
NUMBER

WITHDRAWAL COVERAGE
(State amount allocated to
each premises (distilled spirits
plant(s) only) and total
amount.)

$

$

$

$

$

$

$

AMOUNT OF OPERATIONS
COVERAGE

WITHDRAWAL COVERAGE
TOTAL

Alterations made on this bond before and after execution were made with the consent of the Principal/Obligor
and Surety

(if applicable). (Initial the appropriate blank. See Instruction 6)
DIRECTOR, NATIONAL REVENUE CENTER APPROVAL

ON BEHALF OF THE UNITED STATES, I APPROVE THE FOREGOING BOND WHICH HAS BEEN EXECUTED IN DUE
FORM IN COMPLIANCE WITH THE APPLICABLE LAWS, REGULATIONS, AND INSTRUCTIONS.
SIGNATURE OF AUTHORIZED OFFICIAL, ALCOHOL AND TOBACCO TAX AND TRADE BUREAU

Director, National Revenue Center
TTB F 5110.56 (08/2017)

PAGE 2 OF 4

DATE APPROVED

TERMS OF THIS BOND
The Type of Activity (distiller, warehouseman, processor,
adjacent wine cellar, or alcohol fuel producer) and the premises
covered by this bond are specified on page 2 of the bond and, if
necessary, on an additional sheet appropriately identified and
attached to this bond.
PURPOSE: The above principal has filed an application for
registration of the distilled spirits plant(s) specified.
DEFINITIONS. Definitions pertinent to this bond:
PRINCIPAL. The proprietor of the distilled spirits plant
premises covered by a surety bond
OBLIGOR. The proprietor of the distilled spirits plant
premises covered by a collateral bond
COLLATERAL BOND. A bond secured by tangible assets
such as cash or United States Treasury Bond or Note
CONDITIONS: The above principal/obligor and surety (sureties)
are bound independently and jointly for the payment to the
United States in the above amounts of lawful money of the
United States. In this bond, the terms principal or surety include
the heirs, executors, administrators, successors, and assigns of
the principal/obligor or surety.
If this bond covers only withdrawals, the following clauses
4, 5, 6, and 7 do not apply.
If this bond covers only operations, the following clause 3
does not apply.
If this bond covers only alcohol fuel production operations,
the following clauses 3 and 7 do not apply.
THE PRINCIPAL/OBLIGOR MUST:
(1) Comply with all requirements of law and regulations, now
or hereafter in force, relating to the activities covered by
this bond;
(2) Pay all penalties incurred and fines imposed for violations
of law or regulations, now or hereafter in force, relating to
the activities covered by this bond;
(3) Pay all taxes (including any penalties and interest in respect
of failure to file a timely return, or to pay such Tax when due)
on distilled spirits withdrawn tax-determined from bonded
premises imposed under 26 U.S.C. Chapter 51;
(4) Pay all taxes (including any penalties and interest) imposed
under 26 U.S.C. Chapter 51, including taxes on all
unexplained shortages of bottled distilled spirits;
(5) Comply with all requirements of law and regulations, now
or hereafter in force, pertaining to all distilled spirits
(including denatured spirits, fuel alcohol, and article)
removed from or returned to the bonded premises free
of tax;
(6) With respect to distilled spirits withdrawn from the bonded
premises without payment of tax as authorized by law, (a)
comply with all requirements of law and regulations, now or
hereafter in force relating thereto, and (b) as to said distilled
spirits or any part thereof withdrawn, for example, 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, or for research, development, or testing, and not
so exported, used or transferred, or otherwise lawfully
TTB F 5110.56 (08/2017)

disposed of or accounted for, pay the tax imposed thereon by
law, now or hereafter in force, together with penalties and
interest; and
(7) As the proprietor of a bonded wine cellar, pay all taxes
imposed by law, now or hereafter in force, (including any
penalties and interest) for which he/she may become liable
with respect to operation of the said bonded wine cellar,
and all distilled spirits and wine now or hereafter in transit
thereto or received thereat, and on all distilled spirits and
wine removed therefrom, including wine withdrawn without
payment of tax, on notice by principal, for exportation, or
use on vessels or aircraft, or transfer to a Customs bonded
warehouse, or transferred to a foreign-trade zone, and not
so exported, used, or transferred, or otherwise lawfully
disposed of or accounted for; provided, that up to $500 of
the operations coverage of a $1,000 bond ($1,000
operations coverage of a bond of $2,000 or more) may be
applied to taxes that have been determined, but not paid
on wine removed from premises..
CHANGE OF PREMISES: All stipulations, covenants, and
agreements of this bond will extend to and apply to any
change in the business address of the premises, the extension
or curtailment of such premises, including the buildings
thereon, or any equipment or any other change which requires
the principal/obligor to file a new or amended registration,
application, or notice, except where the change constitutes a
change in the proprietorship of the business, or in the location
of the premises. Further, this bond will continue in effect
whenever operations of the plant are resumed from time to
time following suspension of operations by an alternate
proprietor.
TREASURY COLLATERAL BONDS: If this bond is filed as a
collateral bond secured by a Treasury Note or Bond in an
approved Department of Treasury holding account, this bond
is secured by the Treasury collateral identified on the face of
the bond and any Treasury collateral resulting from roll over of
the previous Treasury collateral. The Treasury collateral
identified in this bond will automatically roll over upon maturity
unless the obligor notifies the National Revenue Center at least
45 days prior to maturity.
DEFAULT: If the principal/obligor of a surety bond fails to fulfill
any of the terms or conditions of this bond, the United States
may seek compensation and pursue its remedies
independently from either the principal/obligor or surety, or
jointly from both. The surety hereby waives any right of
privilege it may have of requiring, upon notice, or otherwise,
that the United States will first commence action, intervene
in any action of any nature whatsoever already commenced
or otherwise exhaust its remedies against the principal/obligor.
If the obligor of a collateral bond fails to fulfill any of the terms
or conditions of this bond, the United States may apply any
outstanding tax liability (including any penalties or interest)
against the collateral deposited.
EFFECTIVE DATE: If accepted by the United States, the
bond will be effective according to its terms on and after the
effective date without notice to the obligors. Provided, that if
no effective date is inserted in the space provided, the date of
execution shown on page 1 of the bond will be the effective
date of the bond.

PAGE 3 OF 4

INSTRUCTIONS
1.

2.

File duplicate original bonds with the Director, National
Revenue Center, Alcohol and Tobacco Tax and Trade
Bureau, 550 Main St., Ste 8002, Cincinnati, OH 452025215

4.

The signature for the surety will be attested under
corporate seal. The signature for the principal/obligor, if a
corporation or LLC, also will be attested by seal if the
corporation or LLC has a seal. If the corporation or LLC
has no seal, that fact will be noted. Each signature will be
made in the presence of two persons (except where
corporate or LLC seals are affixed), who must sign their
names as witnesses.

5.

A bond may be given with (a) corporate surety authorized to
act as surety by the Secretary of the Treasury, (b) by the
deposit of Government obligations. A Government obligation
is defined in 31 U.S.C. 9301 as “a public debt obligation of
the United States Government and an obligation whose
principal and interest is unconditionally guaranteed by the
Government.” Such obligations include Treasury Notes or
Treasury Bonds, or cash in the form of a check or similar
legal tender made payable to the Alcohol and Tobacco Tax
and Trade Bureau for deposit in an approved Department of
the Treasury holding account.

The name, including the full given name, of each party to
the bond will be given in the heading, and each party must
sign the bond with such party’s signature, or the bond may
be executed in the party’s name by an empowered
attorney-in-fact.
a.

In the case of a partnership, the partnership name,
followed by the names of all its partners will be given
in the heading. In executing the bond, the partnership
name will 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. The name of the state in which the
partnership is organized will be given in the space
provided above the signature lines.

b.

If the principal/obligor is an LLC, the LLC name will be
given in the heading. In executing the bond the LLC
name will be typed or written followed by the word
“by” and the signature and title of the managing
member, any member authorized to sign the bond for
the LLC, or an empowered attorney-in-fact. The name
of the state in which the LLC is organized will be
given in the space provided above the signature lines.

c.

3.

Tax and Trade Bureau, in which event a statement to the
effect must be attached to the bond.

If the principal/obligor is a corporation, the heading
will give the corporate name and the address of the
principal business office. The name of the state in
which the corporation is organized will be in the space
provided above the signature lines. The bond will be
executed in the corporate name, immediately followed
by the signature and title of the person authorized to
act for the corporation.

If the bond is signed by an attorney-in-fact for the
principal/obligor, or by one of the members of a
partnership, LLC, or association, or by an officer or other
person for a corporation, there will be filed with the bond
an authenticated copy of the power of attorney, or
resolution of the board of directors, or an excerpt of the
bylaws, or other documents, authorizing the person
signing the bond to execute it by the principal/obligor,
unless an authorization has been previously filed with the
Director, National Revenue Center, Alcohol and Tobacco

Contact the National Revenue Center toll free at 1-877882-3277 regarding allowable types of collateral.
6.

If any alteration or erasure is made in the bond before or
after its execution, complete the alteration statement on
page 2 and make sure that the Principal and Surety or
Sureties OR Obligor initial the statement.

7.

The penal sum named in the bond will be in accordance with
27 CFR Part 19.

8.

If the bond is approved, a copy will be returned to the
principal/obligor.

9.

All correspondence about the filing of this form or any
subsequent action, including termination, affecting this bond
should be directed to Director, National Revenue Center,
Alcohol and Tobacco Tax and Trade Bureau, 550 Main St,
Ste 8002, Cincinnati, OH 45202-5215 or 1-877-882-3277
(toll free).

10. To ensure that all parts of each bond are properly
identified, add the Principal/Obligor name and execution
date (the date in the BOND EXECUTION field on page 1) at
the top of page 2. The principal/obligor and the surety, by
signing this bond, acknowledge that they have read and are
familiar with the terms of the bond on page 3 of this form.

PAPERWORK REDUCTION ACT NOTICE
This request is in accordance with the Paperwork Reduction Act of 1995. The information collection is used by proprietors of Distilled
Spirits Plants and Alcohol Fuel Plants to file bond coverage with TTB. The bond may be secured through a surety company or it may be
secured with collateral (cash, Treasury Bonds, or Notes). The bond protects the revenue assigned to distilled spirits on which excise tax
has not been paid. The information is mandatory by statute (26 U.S.C. 5173 and 5181).
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 5110.56 (08/2017)

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