1120F(SCH V) List of Vessels or Aircraft, Operators,

SCHEDULE V
(Form 1120-F)

OMB No. 1545-0123

List of Vessels or Aircraft, Operators, and Owners

Attach to Form 1120-F.
Department of the Treasury
▶ Information about Schedule V (Form 1120-F) and its separate instructions is at www.irs.gov/form1120f.
Internal Revenue Service
▶

2016

Employer identification number

Name of corporation

Provide the information requested on lines 1 through 9 for each vessel or aircraft with respect to which the corporation is subject to a
4% rate of tax under section 887.
A

B

C

D

1

Name of vessel or type of aircraft .

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2

Vessel or aircraft ID number .

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3

Was the vessel or aircraft chartered in? .

.

Yes

No

Yes

No

Yes

No

Yes

No

4

Was the vessel or aircraft chartered out?

.

Yes

No

Yes

No

Yes

No

Yes

No

5

Name of registered owner

6

EIN or SSN of registered owner

7

Name of operator .

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8

EIN or SSN of operator

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9

U.S. source gross transportation income

10

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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 attached continuation statements) . .

10

11

Amount of line 10 that is exempt by treaty (attach Form 8833).

11

12

Subtract line 11 from line 10. Enter the result here and on Form 1120-F, Section I, line
9, column (b) . . . . . . . . . . . . . . . . . . . . . . . . .

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

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Cat. No. 50821R

12
Schedule V (Form 1120-F) 2016