OMB No. 1513-0017 (11/30/2020)
                                    DEPARTMENT OF THE TREASURY                                                             1. SERIAL NUMBER (The exporter
                        ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)                                                       will  number each form beginning
                               DRAWBACK ON BEER EXPORTED                                                                     with "1" each January 1.)
                        (Prepare in quadruplicate. See instructions on Page 2.))
                                                            PART  I - NOTICE                                                           FOR TTB
NOTICE IS HEREBY GIVEN OF THE SHIPMENT OF TAXPAID BEER ON WHICH DRAWBACK OF INTERNAL                                                   USE ONLY
REVENUE TAX PAID THEREON WILL BE CLAIMED BY THE BREWER                        WHO PAID THE TAX.
                                                                                                                           CLAIM NUMBER
2. NAME AND ADDRESS OF EXPORTER  (Number, street, city, State, and ZIP Code)
                                                                                                                           DATE RECEIVED
3. NAME AND ADDRESS OF BREWER              WHO PAID THE TAX                  3a. EMPLOYER IDENTIFICATION
                                                                                 NUMBER1
                                                                                                                           TTB F 5620.4 FILED WITH CLAIM
4. ADDRESS OF THE DIRECTOR, NATIONAL REVENUE CENTER,                                                                       NO.2
   550 MAIN ST, STE 8002, CINCINNATI, OHIO  45202-5215                                                                     AMOUNT CLAIMED
                                                                                                                           $
5. PURPOSE SHIPMENT FOR EXPORT TRANSFER TO                            (Number)   (Location)
   OF           TO ARMED FORCES                FOREIGN-TRADE                                                               AMOUNT REJECTED
   SHIP-        OF THE U.S.                    ZONE                                                                        $
   MENT         EXPORTATION TO (Name of foreign port and country)                                                          AMOUNT APPROVED
   (Make                                                                                                                   $
   applicable
   entries)     USE AS SUPPLIES ON                                                                                         CLAIMS CLERK
                                                            A VESSEL3        AIRCRAFT3
6. CON-         DIRECTOR OF CUSTOMS AT PORT OF                                                                             7. NAME OF DOMESTIC CARRIER
   SIGNED
   TO OR IN     TRANSPORTATION        (Name)                                                  (Location)
   CARE OF      OFFICER                                                                                                    8. NAME OF EXPORT CARRIER
   (Make
   applicable   CUSTOMS OFFICER IN                          (Number)                          (Location)
   entries)     CHARGE OF FOREIGN-TRADE
                ZONE
9. THE BEER WAS SHIPPED IN THE FOLLOWING CONTAINERS (Show container size as "1/4 bbl", "24/12", etc.)
       NUMBER               KIND          SIZE                       NUMBER             KIND    SIZE              NUMBER               KIND           SIZE
         (a)                   (b)         (c)                       (d)                (e)         (f)                  (g)           (h)                (i)

10. DATE                11. EXPORTER                                                          11a. BY (Signature and title)

                                                                             PART II - CLAIM
TO:  DIRECTOR, NATIONAL REVENUE CENTER, ALCOHOL AND TOBACCO TAX AND TRADE BUREAU
The beer described in Part I has been removed for the purpose stated and is not to be brought back or rel   anded within the limits of the United States.  The
quantity of beer, as described in Part I and restated below in terms of barrels, is correct, and such beer was brewed or produced in the United States.  I am
justly entitled to drawback of tax in the amount claimed herein.  Internal Revenue tax equal to such amount has  been determined and paid as provided by law
and regulations.  No other claim for allowance of drawback has been made on this beer or any part thereof.
12. DATE                13. QUANTITY OF BEER  (Barrels)                                     14a. RATE OF TAX4                14b. DRAWBACK CLAIMED
                                                                                            $                                $
Under penalties of perjury, I declare that I have examined Part I hereof, and this claim, and to the best of my knowledge and belief the statements herein and
in Part I are true, correct, and complete.
15. BREWER1                                                                                 15a. BY (Signature and title)

1The brewer who paid the tax must always complete item 3a.
2Complete only for consolidated claims; show serial number of last claim tabulated.
3State whether (a) Vessel or aircraft operated by the United States; (b) Vessel or aircraft engaged in foreign trade, or in trade between the United States and 
any of its possessions, or between Hawaii or Alaska and any other part of the United States; (c) Vessel of the United States engaged in trade between 
Atlantic and Pacific ports of the United States; (d) Vessel of war of any foreign nation; or (e) Vessel employed in (1) the fisheries, or (2) The whaling 
business.  Show name of vessel, country of registry, and ports of call, or, if a whaling vessel, location or operations.  If aircraft, show also name of airline 
and country of registry of aircraft.
4Indicate the rate of tax paid on the beer exported.  If the beer was produced by a brewer qualified under 27 CFR 25.152 that is eligible to pay at a reduced 
rate of tax, drawback must be claimed at the reduced rate unless the brewer or the brewer’s agent can establish that the beer was taxpaid at the higher rate 
of tax.
TTB F 5130.6 (01/2019)
                                                                             Page 1 of 2

                                         PART III - CUSTOMS OFFICER'S CERTIFICATION OF LADING OR DEPOSIT
I HEREBY CERTIFY THAT THE BEER DESCRIBED IN PART I WAS FOUND TO BE AS DESCRIBED, EXCEPT AS NOTED IN ITE                                      M 19, AND THAT THE BEER WAS                    --
16. LADEN FOR                     VESSEL (Name)                                                                 AIRCRAFT (Name, symbols, number)
EXPORT   USE AS
         SUPPLIES                 RAILROAD CAR (Number)                                                         TRUCK (State license)
ON BOARD
17. RECEIVED IN                   (Number)                          18. SHIPPED TO (Frontier port)              SERIAL NUMBER OF SEALS USED
FOREIGN-TRADE ZONE
19. INSPECTION DISCLOSED
                                                                                                    DISCREPANCIES OR SHORT
NO EVIDENCE OF TAMPERING                        NO DISCREPANCY                                      SHIPMENT AS FOLLOWS:
20. DATE                          21. PORT                                               22.SIGNATURE AND TITLE OF CUSTOMS OFFICER

                                  PART IV - CUSTOMS OFFICER'S REPORT OF THROUGH SHIPMENT AT FRONTIER PORT
23. FRONTIER PORT                                                   24. DATE REC'D       25. INSPECTION DISCLOSED
                                                                                                     NO EVIDENCE           SEALS INTACT                              SEALS BROKEN
                                                                                                     OF TAMPERING                                                    (See item 26)
26. NATURE AND EXTENT OF DISCREPANCIES, TRANSSHIPMENT, RESEALING, ETC.

27. THE EXPORTING CONVEYANCE IDENTIFIED IN ITEM 16, BEARING THE BEER                                            FOREIGN PORT
DESCRIBED IN ITEM 9, WITH EXCEPTIONS AS NOTED IN ITEMS 19 AND 26,
CLEARED FROM THIS PORT FOR THE PORT OF
28. DATE                          29. SIGNATURE AND TITLE OF CUSTOMS OFFICER

                                                PART V - CERTIFICATE OF CLEARANCE OR USE
30. THE EXPORTING CONVEYANCE BEARING THE BEER DESCRIBED IN ITEM 9, WITH EXCEPTIONS AS NOTED ABOVE --
CLEARED FROM THE PORT OF                                                              ON (Date)                 BOUND FOR (Foreign port)

31. THE BEER HAS BEEN USED AS SUPPLIES ON THE                                          32. DATE                 33. SIGNATURE OF DIRECTOR OF CUSTOMS
FISHING VESSEL IDENTIFIED ABOVE, AND THE
EVIDENCE OF SUCH USE HAS BEEN RECEIVED
                                           PART VI - CERTIFICATE OF RECEIPT BY ARMED FORCES OFFICER
The beer described in Part I, with exceptions as noted in item 35, was received for export to the Armed Forces of the United States.  The beer will not be
shipped for consumption or use in any place subject to application of the Internal Revenue laws of the United States.
34. DATE                35. DISCREPANCY

36. SIGNATURE                                                                         37. RANK                  38. TITLE

                                                                                       INSTRUCTIONS
1. GENERAL.  Prepare a separate TTB F 5130.6, in quadruplicate, for the products                must execute Part V, forward the original to the Director, National Revenue Center,
of each brewer.  Under 27 CFR 28.226 an agent is a person who has on file with                  Alcohol and Tobacco Tax and Trade Bureau at the address shown in item 4, and retain
theDirector, National Revenue Center, Alcohol and Tobacco Tax and Trade Bureau, a               the copy for his\her files.
TTB F 5000.8, Power of Attorney, authorizing him/her to act on behalf of the principal.
                                                                                                    (d) Lading at Interior Port For Exportation Through Frontier Port.  On
2. SHIPMENT BY BREWER OR  BREWER'S AGENT.  Complete Parts I and II,                             completion of lading, the Customs Officer must affix the customs seals, then execute 
forward the original and one copy to the official designated in item 6, forward one             Part III on both copies and forward them to the Director of Customs at the interior port of
copy to the Director, National Revenue Center, Alcohol and Tobacco Tax and Trade                lading for forwarding to the Customs Officer at the frontier port. (Exception, if the
Bureau at the address shown in item 4, and retain the remaining copy for filing.                shipment is by truck and  if instructions from the Director of Customs so provide, the
3. ACTION BY CUSTOMS.                                                                           copies may be forwarded via the truck driver to the Customs Officer at the frontier
(a) Shipment for Direct Exportation.  After inspection of  lading, the Customs                  port.)  That officer, when satisfied that the shipment has been exported, must execute
Officer must execute Part III on both copies and forward them to  the Director of               Part IV on both copies and return them to the Director of Customs at the interior port.
Customs.  On clearance at the conveyance, the Director of  Customs must execute                 The Director of Customs must then execute Part V, forward the original to the
Part V, forward the original to the Director, National Revenue Center, Alcohol and              Director, National Revenue Center, Alcohol and Tobacco Tax and Trade Bureau at the
Tobacco Tax and Trade Bureau at the address shown in item 4, and retain the                     address shown in item 4, and retain the copy for his/her files.
copy for his/her files.                                                                             (e) Receipt in Foreign-Trade Zone.  On receipt of the beer, the Customs
(b) Supplies on Aircraft and Vessels Other Than  Fishing Vessels.                               Officer must complete Part III on both copies, forward the original to the Director,
After inspection of lading, the Customs Officer must execute Part III on both copies,           National Revenue Center, Alcohol and Tobacco Tax and Trade Bureau at the address
forward the original to the Director, National Revenue Center, Alcohol and Tobacco Tax          shown in item 4, and retain the copy for his/her files.
and Trade Bureau at the address shown in item 4, and retain the copy for his/her files.         4. ACTION BY ARMED FORCES OFFICER.  On receipt of the beer, the officer to
(c) Supplies on Fishing Vessels.  After inspection of lading, the Customs                       whom consigned (or other authorized supply officer) must execute Part VI on both
Officer must execute Part III on both copies and forward them to the Director of                copies, forward the original to the Director, National Revenue Center, Alcohol and
Customs.  The Director of Customs (on receipt of the required Customers Form 5125)              Tobacco Tax and Trade Bureau at the address shown in item 4,and retain the copy for
                                                                                                his/her records.
                                                                    PAPERWORK REDUCTION ACT NOTICE
This request is in accordance with the Paperwork Reduction Act of 1995.  The information collection is used to obtain drawback of Federal taxes on beer exported from the United States. 
This information is required to obtain a benefit by 26 U.S.C. 5055. 
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.
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