OMB NO. 1513-0024 (01/31/2013)
DEPARTMENT OF THE TREASURY
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
REPORT - PROPRIETOR OF EXPORT WAREHOUSE
GENERAL INSTRUCTIONS
A. Who prepares this report? Proprietors of export warehouses must prepare and file this report about their TTB permit operations.
B. When must I prepare this report? You must prepare and file this report at the following times.
(1) The month in which you start to engage in the business of a proprietor of an export warehouse and each following month, as long as you are engaged in the business.
You must file this report each month whether or not you conduct any business.
(2) When an appropriate TTB officer has required a special inventory.
(3) When you discontinue the business covered by your TTB permit.
C. When must I file this report? No later than 20 days after the end of the month that the report covers.
D. How do I file this form? Send the completed form to the Director, TTB National Revenue Center, 550 Main St., Ste. 8002, Cincinnati, OH 45202-5215. Keep a copy
for your records.
E. How do I enter quantities of articles on the report form? Each column heading states the unit of measure as either “number” or “pounds.” Where “number” is
indicated, enter the total number of individual sticks or units. For example, ten thousand small cigarettes would be entered as “10,000”. Do not enter the number of
packs, cartons or cases. Where “pounds” is indicated, enter quantity in pounds and fractions of a pound, rounded to two decimal places. For example, show ten pounds
four ounces as “10.25” - convert total ounces to pounds by dividing total ounces by 16.
INSTRUCTIONS FOR ITEMS ON THE FORM
F. Item 1 - What is my employer identification number? The nine-digit code that the Internal Revenue Service (IRS) has assigned to your business.
G. Item 2 - What is my TTB permit number? This "number" is listed on your TTB permit to conduct operations as a proprietor of an export warehouse. For example, EW-
XX-1234 where XX is the 2-letter State abbreviation of the U.S. Post Office. Each location at which you conduct operations has a "number". If you have more than one
TTB permit, you must file separate reports for each.
H. Item 3 - What time period(s) must my report cover?
Report(s) for:
Time period(s):
Starting business
From the day and month that you start business to the last day of the same month
After starting business
Each month
Special inventory required by
(1) From the first day of the month to the day preceding the special inventory; AND
appropriate TTB officer
(2) From the day of the special inventory to the last day of the month
Discontinuing business
From the first day of the month to the day of the same month that you discontinue business
I. Item 13 – How do I report a loss (other than a shortage disclosed by an inventory)? Show on line 13 the quantity of articles lost and report the loss to TTB by contacting
the National Revenue Center (see contact information in instruction L below). To be relieved of liability for excise tax on tobacco products lost (otherwise than by theft) or
destroyed, by fire, casualty, or act of God, you must file a claim for remission of the tax liability using TTB F 5620.8. Your claim must include the nature, date, place, and
extent of the loss.
TTB F 5220.4 (05/2009) PREVIOUS VERSIONS SUPERSEDED AND MAY NOT BE USED
Instructions: Page 1 of 2