Form Ttb F 5100.51 - Formula And Process For Domestic And Imported Alcohol Beverages 2009
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2OMB NO. 1513-0122 (06/30/2012)
FORMULA #:
FOR TTB USE ONLY
DEPARTMENT OF THE TREASURY
TTB ID
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)
FORMULA AND PROCESS FOR DOMESTIC
SUPERSEDING
1. NAME AND ADDRESS OF APPLICANT / IMPORTER
AND IMPORTED ALCOHOL BEVERAGES
FORMULA
(See Instructions):
(See Instructions and Conditions at the end of this form)
2. CONTACT PERSON’S PHONE NUMBER / E-MAIL ADDRESS:
3. PLANT REGISTRY / BASIC PERMIT / BREWER’S NUMBER:
1a. MAILING ADDRESS (If different than above) / FOREIGN
PRO UCER’S ADDRESS:
D
4. CLASS AND TYPE OF PRODUCT:
5. PRODUCT NAME:
6. QUANTITATIVE LIST OF INGREDIENTS (If more space is
7. METHOD OF MANUFACTURE / PROCESS OF PRODUCTION (If more space is
needed, use space at the top of the next page or separate sheet):
needed, use space at the top of the next page or separate sheet):
8. TOTAL YIELD:
9. ALCOHOL CONTENT OF FINISHED
PRODUCT (range may be shown):
9a. AMOUNT OF ALCOHOL
9b. AMOUNT OF ALCOHOL
FROM FLAVORS:
FROM BASE:
10. PRINTED NAME OF APPLICANT / IMPORTER:
11. BY (Signature and Title)
12. DATE:
FOR TTB USE ONLY (Items 13, 14, 15, and 16)
13.
LABELING (finished product only):
FORMULATION:
WINE PRODUCTS
The designation of the product must include a truthful and adequate
statement of composition, such as
Approved subject to the provisions of
27 CFR
DISTILLED SPIRITS PRODUCTS
Harmless coloring, flavoring, or blending materials must not
total more than 2.5% by volume of the finished product.
Commodity statement
Sugar, dextrose, or levulose or a combination thereof must
be used in an amount not less than 2.5% by weight of the
cordial or liqueur.
The label must indicate the use of:
The use of refining agents must not alter the basic
certified color (other than
caramel color
composition of the spirits.
FD&C Yellow #5)
artificial flavor
FD&C Yellow #5
The blended whiskey must contain not less than 20%
straight whiskey on a proof gallon basis.
allergen(s):
15. APPROVED – TTB SPECIALIST FOR THE ADMINISTRATOR, ALCOHOL AND
16. EXPIRES (IMPORT ONLY):
14. DATE:
TOBACCO TAX AND TRADE BUREAU
TTB F 5100.51 (11/2009) (TTB FORMS 5110.38, 5120.29 SUPERSEDED)
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