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TTB Form 5100.31
Application for Label Approval
TTB ID (14-Digit Application ID)
1. Rep. ID No. (If any)
2. Plant Registry/Basic Permit/Brewer's No.
3. Source of Product
Domestic
Imported
4. Serial Number
5. Type of Product
WINE
DISTILLED SPIRITS
MALT BEVERAGE
6. Brand Name
7. Fanciful Name (If any)
8. Name & Address of Applicant
8a. Mailing Address (If different)
9. Formula
10. Grape Varietal(s) (Wine only)
11. Wine Appellation (If on label)
12. Phone Number
13. Email Address
14. Type of Application
15. Extra Information / Translations
16. Date of Application
17. Signature of Applicant
18. Printed Name of Applicant
Government Warning Statement