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FORM 5120.25 SPECIFIC INSTRUCTIONS

Specific Instructions

Item 1.

SERIAL NUMBER.

Serial #1

Item 6.

NAME AND ADDRESS.

Give name and address of winery. If a rural address, give the

name of the county, road or highway on which the premises is situated, nearest post office and

approximate distance and direction.

COMPLETE ON A SEPARATE SHEET OF PAPER

Read and follow each item carefully. Attach the required

statements and documents to Form 5120.25

BUSINESS ORGANIZATION.

If already on file, reference premises. If not, identify type of

business organization, e.g., sole owner, partnership, corporation, and the persons having an

interest in the business. Give percentages of ownership. Corporations should address (a)

through (e). Partnerships should address (a).

WINE PREMISES.

Describe each wine premises building as to size, construction and use.

Buildings not used for the wine operations will be described only as to size and use. If the wine

premises consist of a partial building, rooms or floors, each will be described separately.

Description should be in feet and inches, to readily define the boundary of the wine premises.

Means of ingress and egress from the wine premises to adjoining portions will be described.

Be sure to highlight the bonded areas with "hash marks" or in red. Describe security. Describe

any taxpaid wine premises at the wine premises and the means used to segregate and identify

taxpaid wine from untaxpaid wine. If none State, "there will be no taxpaid wine at the

premises". Describe any alternating areas. If none State, "there will be no alternating areas". A

drawing is desirable.

DISCLOSURE.

If this is a bonded winery, state "Not applicable".

TRADE NAME.

List each trade name to be used in connection with the wine operations. Certify

that each trade name has been registered with the appropriate State or local office.

SPIRITS OPERATIONS.

Describe any operation which will involve the used of spirits. If none,

State, "None".

If a bond is required, give the amount of the bond and type of bond

BONDS AND PERMITS.

i.e. surety, cash or T-note. Give the name of the surety company.

NOTE –

If cash collateral you

will need a modified wine bond form.

VOLATILE FRUIT-FLAVOR CONCENTRATE OPERATIONS.

Describe if applicable. If none,

State, "None”.

OTHER OPERATIONS.

Describe any other operations not specifically authorized by Part 24

that are to be conducted on the wine premises. These other operations need not be restricted

to alcohol-related businesses i.e. restaurant, gift shop, etc. If none, State "None”.

Instructions For Form Ttb F 5120.25 - Application To Establish And Operate Wine Premises

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