Form Ttb F 5100.24 - Application For Basic Permit Under The Federal Alcohol Administration Act Page 3
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1
2
3INSTRUCTIONS
1. GENERAL. You must file this application if you want a permit under
Location of
Send to:
the Federal Alcohol Administration Act (FAA Act) to engage in the
Business
TTB
business of:
PUERTO RICO
Ste 310 Torre Chardon, 350
787-766-5584
Carlos Chardon Ave, San Juan, PR 00918 -21244
· Producing or processing distilled spirits or wine includes for
San Juan, PR 00918 -21244
nonindustrial use.
ALL OTHER STATES
550 Main Street, Suite 8002
1-877-882-3277
· Importing into the United States, or wholesaling, alcoholic
Cincinnati, OH 45202
beverages.
3. LABEL APPROVALS FOR BOTTLED ALCOHOLIC BEVERAGES.
Nonindustrial use of distilled spirits or wines includes all beverage
Bottlers, packagers, and importers should have TTB approved label
purposes or uses in preparing foods or drinks. Wholesaling under
certificates (TTB F 5100.31). A label approval is required to sell,
the FAA Act means purchasing alcoholic beverages for resale at
ship, or deliver for sale or shipment, or to otherwise introduce in
wholesale. The FAA Act defines alcoholic beverages as distilled
interstate or foreign commerce, alcoholic beverages. Also, a label
spirits, wine, or malt beverages including any fermented cereal
approval allows importers to release specific imported alcoholic
beverages which have an alcohol content of not less than
percent.
1/2
beverages from Customs' custody. For label approvals contact TTB,
Advertising, Labeling and Formulation Division, Washington, DC
2. COMPLETING AND FILING THIS APPLICATION.
20220, (202-927-8140). TTB does not approve certificates until
you have the appropriate FAA Act basic permit. You can submit
· Please type or print and complete all items.
draft labels (for example, mockups) to TTB for review before printing
· Write "not applicable" in any item requesting information that does
the labels. Trade name approval on your FAA Act basic permit does
not apply to your business.
not constitute approval as a brand name for labeling purposes.
· Items 8 through 11: If this information is on file with TTB, state
“On file under (name and TTB permit or registry number or type of
4.
. If you
a retail or wholesale dealer and
pending application) ."
deal in beer, wine or distilled spirits, file TTB F 5630.5d, Alcohol Dealer
· If you need additional room, use a separate sheet.
Registration. SPECIAL TAX FOR RETAIL AND WHOLESALE DEALERS
· If your producing or processing operations will be in Puerto Rico,
HAS BEEN REPEALED, NO TAX PAYMENT DUE. You do not file this
contact the Director, Puerto Rico Operations, for additional
form when your business only involves the importation or sale of
requirements.
fermented cereal beverages which have an alcoholic content of less
· Send this form in duplicate to the appropriate TTB (Alcohol and
than
percent or where your business is only in Puerto Rico.
1/2
Tobacco Tax and Trade Bureau ) office.
5. EMPLOYER IDENTIFICATION NUMBER. You need to have this
number for your business even if you do not have any employees.
To obtain an EIN, file Form SS-4 with the Internal Revenue Service.
PRIVACY ACT INFORMATION
1. AUTHORITY. Solicitation of information on TTB F 5100.24 is made pursuant to 27 U.S.C. Section 204(c). Disclosure of this information by the
applicant is mandatory if the applicant wishes to obtain a basic permit under the Federal Alcohol Administration Act.
2. PURPOSES. To identify the applicant , the location of the premises , and to determine the eligibility of the applicant to obt ain a basic permit.
3. ROUTINE USES. The information will be used by TTB to make deteminations set forth in paragraph 2 above. Where such disclosure is not
prohibited, TTB officers may disclose this information to other Federal, State, foreign, and local law enforcement and regulatory agency personnel
to verify information on the application, and for enforcement of the laws of such other agency. The information may be disclosed to the Justice
Department if the application appears to be false or misleading. TTB officers may disclose the information to individuals to verify information on
the application where such disclosure is not prohibited.
4. EFFECTS OF NOT SUPPLYING INFORMATION REQUESTED. TTB may delay or deny the issuance of the FAA Act basic permit where
information is not complete or missing.
5. DISCLOSURE OF EMPLOYER IDENTIFICATION NUMBER AND SOCIAL SECURITY NUMBER. You do not have to supply these numbers.
These numbers are used to identify an individual or business. If you do not supply the numbers, your application may be delaye d.
PAPERWORK REDUCTION ACT NOTICE
This request is in accordance with the Paperwork Reduction of 1995. The information collection is used to determine the eligib ility of the applicant
to engage in certain operations, to determine the location and extent of operations, and to determine whether the operations wi ll be in conformity
with Federal laws and regulations. The information requested is required to obtain or retain a benefit and is mandatory by sta tute (27 U.S.C. 203
and 204 (c)).
The estimated average burden associated with this collection of information is 1 hour and 45 minutes per respondent depending o n individual
circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be add ressed to
Reports Management Officer, Regulations and Rulings Division, Alcohol and Tobacco Tax and Trade Bureau, Washington, DC 20220.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displa ys a current, valid
OMB control number.
TTB F 5100.24 (
)
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