OMB
No.1513-0027
DEPARTMENT OF THE TREASURY
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
REMOVALS OF TOBACCO PRODUCTS, CIGARETTE PAPERS AND TUBES WITHOUT PAYMENT OF TAX
(INSTRUCTIONS)
_____________________________________________________________________________________________________________________
GENERAL
What is the purpose of this form? This form documents tobacco products or cigarette papers and tubes on which Federal excise tax has not been paid. TTB Regulations (27 CFR Part 44) prescribe this form to document certain shipments on which tax has not been paid. 27 CFR Part 44 allows such shipments for export, and destruction, of tobacco products or cigarette papers and tubes. When this form is properly completed, it provides evidence of export or transfer, or documents the destruction by an export warehouse proprietor.
What are "taxable articles" when used on this form? Tobacco products or cigarette papers and tubes.
What are "tobacco products"? Cigarettes, cigars, smokeless tobacco (snuff or chewing tobacco), pipe tobacco, and roll-your-own tobacco.
Who may make entries on this form?
Manufacturer of tobacco products or of cigarette papers and tubes.
Export warehouse proprietor.
Customs warehouse that manufactures cigars according to U.S. customs laws and regulations.
(5) Customs officer of the United States.
(7) Officer of the United States Armed Forces.
Officer or authorized agent of a Federal department or agency.
Officer of a vessel or aircraft.
Zone operator of a foreign trade zone.
Proprietor of a class 9 customs bonded warehouse operated by a duty-free sales enterprise.
Individual who receives taxable articles, on which Federal excise tax has not been paid, for export.
Postmaster or authorized agent of the United States Postal Service.
Authorized TTB officer.
How do I complete this form?
I am a(n): |
Instruction(s) |
Disposition of TTB F 5200.14 |
Manufacturer of tobacco products or cigarette papers and tubes, export warehouse proprietor, or customs warehouse proprietor that manufactures cigars- |
|
|
Removing from my premises taxable articles for a purpose described in item 5 of this form.1 |
Complete items 1 through 5 and 8 through 11, and if shipment is for export, items 6 and 7. Consider as a shipment for export if you checked item 5a, b, c, d, or f. Send this form no later than the day of the shipment. |
Unless exporting the shipment by parcel post,
Revenue Center. 2
If exporting by parcel post,
|
Receiving this form after I completed Part I for a shipment of taxable articles. |
Verify that any entries made in Parts II through V for the shipment are correct and complete. |
Send original to the TTB National Revenue Center 2 and keep a copy for your records. |
Receiving document(s), allowed under 27 CFR Part 44, that constitute proof of export without payment of tax. 1 |
Verify that entries on document(s) are complete and correct for the shipment. |
Send a copy with a note of the serial number of the related TTB F 5200.14 to the TTB National Revenue Center 2 and keep a copy for your records. |
Receiving a return of a shipment of taxable articles without payment of tax. |
Complete item 15. |
Send original to the TTB National Revenue Center 2 and keep the copy for your records. |
Export warehouse proprietor- |
|
|
Receiving taxable articles without payment of tax at my premises other than a return shipment. |
Complete item 15. |
Send original to the TTB National Revenue Center 2 and keep a copy for your records. |
Requesting to destroy taxable articles without payment of tax at my premises. |
Complete items 1 through 4, and 10, and attach a letter that contains your signature and title, and requests that TTB act on your request. |
Send to your local TTB field office.3 After you receive this form back from TTB and you have destroyed the taxable articles, send the original to the TTB National Revenue Center 2 and keep a copy for your records. |
TTB F 5200.14 (09/2015) PREVIOUS EDITIONS OBSOLETE
I
am
a(n):
Instruction(s)
Disposition
of
TTB
F
5200.14
Customs
officer
of
the
United
States receiving
this
form
for-
Export
to
a
contiguous
4
or
noncontiguous
foreign
country,
Puerto
Rico,
Virgin
Islands,
or
a
possession
of
the
United
States.
Complete
items
13a,
b,
and
d.
Send
original
and
a
copy
to
the
person
listed
in
item
3
and
keep
a
copy
for
your
records.
Shipment
to
a
Foreign
Trade
Zone
or
Class
9
customs
bonded
warehouse
(duty-free
shop).
Complete
item
15.
Send
original
and
a
copy
to
the
person
listed
in
item
3,
and
keep
a
copy
for
your
records.
Shipment
to
a
vessel
or
aircraft
for
use
as
supplies
for
the
vessel or
aircraft
(item
5i).
Complete
items
12,
and
13
a,
b,
and
d,
and
if
not
cleared
from
the
port
at
time
of
lading,
then
item
13c
must
be
completed
by
the
authorized
person
on
board
the
vessel
or
aircraft.
Send
original
and
a
copy
to
the
person
listed
in
item
3,
and
keep
a
copy
for
your
records.
Officer
of
the
United
States
Armed
Forces,
or
officer
or
authorized
agent
of
a
Federal
department
or
agency
Complete
item
16.
5
Send
original
and
a
copy
to
the
person
listed
in
item
3.
Officer
of
vessel
or
aircraft
Complete
items
13c(1),
(2),
(3),
(4),
and
(5).
Return
to
the
person
who
sent
you
the
form.
Foreign
trade
zone
operator
or
Class
9
customs
bonded
warehouse
proprietor
receiving
taxable
articles
at
my
premises
Complete
item
15.
Send
original
and
a
copy
to
the
person
listed
in
item
3,
and
keep
a
copy
for
your
records.
Individual
who
receives
taxable
articles,
on
which
Federal
excise
tax
has
not
been
paid,
for
export
Complete
item
16.
Return
to
the
person
requesting
your
certification.
Postmaster
or
authorized
agent
of
the United
States
Postal
Service
Complete
item
17.
Return
to
the
person
requesting
your
certification.
Authorized
TTB
officer
Complete
item
18.
Return
to
the
export
warehouse
proprietor
requesting
destruction.
You may document shipments of taxable articles without payment of tax using a TTB-approved alternate method. TTB-approved alternate methods include procedures 71-5 and 80-5, Revenue Ruling 72-325, and Industry Circular 2000-2, which are available from the TTB
•
•
•
s
An officer of the United States Armed Forces may use a properly completed Department of Defense Form, Transportation and Control and Movement Document instead of completing item 16.
Must I have a properly completed form for each shipment of taxable articles removed according to the requirements of 27 CFR Part 44?
Yes, you must have a properly completed form unless you can cite a TTB regulation or procedure, or you have a letter written to you from an appropriate TTB officer.
Who may TTB assess tax against? If this form is not properly completed, TTB may assess the tax against the manufacturer, or the proprietor
of an export warehouse or customs bonded warehouse, who makes a removal without payment of tax.
INSTRUCTIONS FOR ITEMS ON THE FORM
Items 1 and 15d - What is my permit number? Use the "number" that identifies your premises from which the taxable articles are removed,
shipped, or received.
Iama: |
The "number" that identifies your premises is: |
Manufacturer of tobacco products |
On your permit (example TP-XX-123 where "XX" is the 2-letter State abbreviation of the U.S. Post Office). |
Export warehouse proprietor |
On your permit (example EW-XX-123 where "XX" is the 2-letter State abbreviation of the U.S. Post Office). |
Foreign trade zone operator |
The "number" that the Foreign Trade Zone Board assigns to the zone. |
Customs warehouse proprietor |
The "number" that the U.S. Customs Service assigns to your warehouse. |
Item 2 - What may I use for serial numbers? Enter a unique set of whole numbers that run consecutively. You may repeat the same series at the start of a year. For example, start with the number "1" on January 1st or at the beginning of your fiscal year. You may use one or more letters in combination with whole numbers as long as the numbers run consecutively.
Items 6 and 7 - a. Must I identify the port of exportation and the identity of the carrier? Identify the port of exportation and the carrier when you know this information, but no later than upon sending the completed TTB Form 5200.14. (A completed TTB Form 5200.14 has Part I completed and either Part(s) II through IV completed, or alternate proof of exportation.)
b. Which carrier do I identify and how must I identify the carrier? Identify the carrier exporting the taxable articles through the port. For a vessel, state its name, class, and type. For an aircraft, state the name of the business operating the aircraft and the flight number. For trucks or cars, identify the business operating the vehicle, the vehicle's license, and the State(s) that issued the license and the license plate. If a business does not operate the vehicle, identify the serial number of the operator's license, the vehicle's license, and the State(s) that issued the license and the license plate.
TTB F 5200.14 (09/2015) PREVIOUS EDITIONS OBSOLETE
Page 2 of 7
Item 9 - How must I identify the person? Identify the name and address of the ultimate person who will receive your shipment for the purpose that you described in item 5 of this form. If for export, identify the person outside the United States. Do not identify freight forwarders, agents, or similar persons.
Items 10 and 14 - How should I describe the shipment?
Item 10a - Distinguishing mark or number. If you are a manufacturer of tobacco products or an export warehouse proprietor, you must place a distinguishing mark or number on each shipping container (27 CFR 44.187).
Item 10d or 14c - Tax Class. Identify the tax class as specified by 27 CFR Part 40. Examples: small or large cigarettes; small or large cigars; pipe tobacco; snuff; chewing tobacco; roll-your-own tobacco; cigarette papers; and cigarette tubes.
Item 10e or 14d - Total quantity listed as follows:
For Tax Class: |
By: |
All cigarettes |
Number |
Small or little cigars |
Number |
Large cigars |
Number and the sale price per thousand 6 |
Pipe tobacco |
Pounds (Note: convert ounces into equivalent pound(s)) |
Snuff |
Pounds (Note: convert ounces into equivalent pound(s)) |
Chewing tobacco |
Pounds (Note: convert ounces into equivalent pound(s)) |
Roll-your-own tobacco |
Pounds (Note: convert ounces into equivalent pound(s)) |
Cigarette paper |
Number |
Cigarette tubes |
Number |
6 If you do not include the sale price per thousand of large cigars, TTB will determine the tax based on the assumption that their sale price is more
than $763.222 per thousand.
Items 11, 14, and 15 - Who must sign for a business?
If your business is a: |
The report must be signed by: |
Sole proprietorship |
that grants the individual the authority to sign this form. |
Partnership |
grants the individual the authority to sign this form. |
Corporation, association, limited liability company, or other business |
with TTB for your business; OR
grants the individual the authority to sign this form. |
QUESTIONS.
If
I
have
questions
about
this
TTB
form,
who
can
answer
my
questions?
You
may
contact
a
specialist
at
the
National
Revenue
Center
by
phone
at
1-877-882-3277
or
1-513-684-3334,
fax
at
1-202-453-2338,
or
by
e-mail
to
ttbtobacco@ttb.gov
or
ttbquestions@ttb.gov.
PAPERWORK REDUCTION ACT NOTICE
This information request is in accordance with the Paperwork Reduction Act of 1995. The purpose of this information collection is to monitor the operations of industries regulated by TTB. TTB uses this information to determine regulatory compliance and to assess tax regarding shipments of taxable commodities without payment of tax. The information is mandatory by statute (26 U.S.C. 5704 and 5722).
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 5200.14 (09/2015) PREVIOUS EDITIONS OBSOLETE
REMOVALS OF TOBACCO PRODUCTS, CIGARETTE PAPERS AND TUBES WITHOUT PAYMENT OF TAX
PART I - NOTICE OF SHIPMENT
1. My Permit Number (read instruction H): |
2. Serial Number (read instruction I): |
|
3. My Name and MAILING address of the premises from which taxable articles are removed: |
4. Date of shipment: |
|
In
accordance with
27 CFR Part 44,
I am consigning
and removing taxable
articles, without
payment of tax,
from my premises
for shipment
to a
(check only
ONE item):
Foreign
country, Puerto
Rico, Virgin Islands,
or possession of the
United States
by:
Common Carrier Parcel Post Individual
(b)
Foreign
trade zone
Export Warehouse
Class 9 customs bonded warehouse operated by a duty-free enterprise (duty-free store)
(e)
Federal department or agency, including the Armed Forces of the United States
(f) Vessel
or aircraft
engaged in an
activity for
the Government
of the
United States,
or a
foreign government
as supplies
for the
vessel or
aircraft
1
(g)
Vessel, including eligible fishing vessel, or aircraft, as supplies for the vessel or aircraft1
(h) Manufacturer's factory which shipped the taxable articles, or to a customs warehouse proprietor who produced the cigars, as a return from my export warehouse
1 Note: taxable articles must be consumed outside the jurisdiction of the Internal Revenue laws of the United States.
My business documents for this shipment (complete two or more items that apply to your shipment):
a. Identity of purchase order |
b. Identity of bill of lading |
c. Identity of transportation control (U.S military) |
d. Other - specify type of document and its identity |
I
am
sending the shipment to (read instruction
K):
Shipment Description (read instruction L):
Shipping Containers |
Taxable Articles |
|||
a. Distinguishing mark or number |
b. Quantity |
c. Type (case, carton, or specify other) |
d. Tax class |
e. Total quantity, and for large cigars, the sale price per thousand |
|
|
|
|
|
Under penalties of perjury, I declare that the above articles are shipped for a lawful purpose as provided by 27 CFR Part 44 , and that the Government forms and business documents, related to this shipment, are available for examination by appropriate TTB officers (read instruction M).
a. My Signature |
b. Title or Status for my Business |
c. My Name (print or type so that it can be read) |
TTB F 5200.14 (09/2015) PREVIOUS EDITIONS OBSOLETE Page 4 of 7
OMB No. 1513-0027
PART ll - U.S. CUSTOMS AND BORDER PROTECTION USE ONLY
Supervision of Lading - In accordance with 27 CFR Part 44, I have supervised the lading of articles on the vessel or aircraft stated in item 7 of this form. Unless item 14 of this form notes otherwise, the articles laden are described in item 10 of this form.
a. Signature of Customs officer |
b. Title of Customs officer |
c. Date |
d. Customs officer's name (print or type so that it can be read)
Clearance of Vessel or Aircraft- I have cleared the vessel or aircraft described in item 7 of this form.
Certificate of Receipt by Exporter - Unless I have noted otherwise in item 14 of this form, I received the taxable articles described in item 10 of this form for use as supplies for the vessel or aircraft identified in item 7 of this form. I declare that these taxable articles are for consumption outside the United States (50 States and the District of Columbia). I understand that Federal law provides civil and criminal penalties if I or any other person improperly retains them, or returns them to, the United States.
The vessel or aircraft shown in item 7 of this form is engaged in (check one item):
Foreign
trade Trade
between noncontiguous
parts
of the
United States
Governmental
activity
Fishing
(2) My Signature |
(3) My Title as officer of vessel or aircraft |
(4) My Name (print or type so that it can be read) |
(5) Date that I received taxable articles |
Customs Certificate of Shipment (check only one item):
The
vessel
or aircraft
has
been
cleared in
items 13a
and
b. I
have examined
the individual's
certificate in item
16.
In accordance with 27 CFR Part 44, I am satisfied that the articles described in item 10 of this form, unless otherwise certified in item 14 of this form, have been exported from the United States (50 States and the District of Columbia):
(1) Signature of Customs officer |
(2) Title of Customs officer |
(3) Date |
(4) Customs officer's name (print or type so that it can be read)
I certify that the description of the taxable articles as stated in item 10 of this form is not correct, but the following description is correct (read instructions L and M).
TTB F 5200.14 (09/2015) PREVIOUS EDITIONS OBSOLETE
I have received the taxable articles described in item 10 of this form, unless I have otherwise noted in item 14 of this form, and for the purpose described in item 5 of this form.
a. My Signature (read instruction M) |
b. My Business Title or Title of Customs officer |
c. My Name (print or type so that it can be read) |
d. Permit number for the business receiving taxable articles (read instruction H) |
I have received, and will export, the taxable articles described in item 10 of this form unless I have otherwise noted in item 14 of this form. These taxable articles are for consumption outside the United States (50 States and District of Columbia). I understand that Federal law provides civil and criminal penalties if I or any other person improperly retains them in, or returns them to, the United States.
My
Signature b.
My Name (print
or type
so that
it can be
read)
c. My Title for Federal department or agency
I
have examined the
shipping containers
described in item
10 of this
form. Each
shipping container
has a
written waiver on
the outside
of it.
These waivers
state the person
identified in
item 3
of this form
and his or her
waiver of
the right
to withdraw
the container
from the
mail.
Postal Endorsement b. My Name (print or type so that it can be read)
The proprietor of the export warehouse identified in items 1 and 3 of this form:
May
destroy the
taxable articles
listed in
item 10 of
this form
without TTB supervision.
Has
destroyed the taxable
articles listed in item
10 of
this form,
unless I
have otherwise
noted in item
14 of this
form, under my
supervision.
Signature b. TTB Title
c. Name (print or type so that it can be read)
TTB F 5200.14 (09/2015) PREVIOUS EDITIONS OBSOLETE
Page 6 of 7
OMB No. 1513-0027
TAXABLE ARTICLES WITHOUT PAYMENT OF TAX (Continuation Page)
PART I - NOTICE OF SHIPMENT
1. My Permit Number (read instruction H): |
2. Serial Number (read instruction I): |
|
3. My Name and MAILING address of the premises from which taxable articles are removed: |
4. Date of shipment: |
|
Shipment Description (read instruction L):
Shipping Containers |
Taxable Articles |
|||
a. Distinguishing mark or number |
b. Quantity |
c. Type (case, carton, or specify other) |
d. Tax class |
e. Total quantity, and for large cigars, the sale price per thousand |
|
|
|
|
|
Under penalties of perjury, I declare that the above articles are shipped for a lawful purpose as provided by 27 CFR Part 44 , and that the Government forms and business documents, related to this shipment, are available for examination by appropriate TTB officers (read instruction M).
a. My Signature |
b. Title or Status for my Business |
c. My Name (print or type so that it can be read) |
TTB F 5200.14 (09/2015) PREVIOUS EDITIONS OBSOLETE
Page 7 of 7
Page
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | TTB F 5200 14 (0027).pdf |
| Author | TTB |
| File Modified | 0000-00-00 |
| File Created | 2021-01-24 |