Form Schedule V Schedule V List of Vessels or Aircraft, Operations, and Owners

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I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 1120-F (Sch V), PAGE 1 of 2 (Page 2 is blank)
MARGINS; TOP 13mm (1/2"), CENTER SIDES.
PRINTS: ONE SIDED
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
FLAT SIZE: 216mm (8-1/2") x 279mm (11")
PERFORATE: None
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

SCHEDULE V
(Form 1120-F)

Action

Date

O.K. to print
Revised proofs
requested

OMB No. 1545-0126

List of Vessels or Aircraft, Operators, and Owners

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©

Department of the Treasury
Internal Revenue Service
Name of corporation

Signature

2008

Attach to Form 1120-F, Section I, line 9.
© See separate instructions.

Employer identification number

Provide the following information for each vessel or aircraft with respect to which the corporation is subject to a 4% rate of tax
under section 887.
A

1

Name of vessel or aircraft

2

Vessel or aircraft ID number

3

Was the vessel or aircraft chartered in?

4

Was the vessel or aircraft chartered out?

5

Name of registered owner

6

EIN of registered owner

7

Name of operator

8

EIN of operator

9

U.S. source gross transportation income

10

B

C

D

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Total U.S. source gross transportation income. Add the amounts on line 9, columns A through D (and the amounts on
line 9 of any attachments). Enter here and on Form 1120-F, Section I, line 9, column (b) ©

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 1120-F.

Cat. No. 50821R

Schedule V (Form 1120-F) 2008