SCHEDULE V
(Form 1120-F)
Department of the Treasury
Internal Revenue Service
List of Vessels or Aircraft, Operators, and Owners
Attach to Form 1120-F.
Go to www.irs.gov/Form1120F for instructions and the latest information.
OMB No. 1545-0123
2019
Name of corporation Employer identification number
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. If you check “Yes” on line 3 or line 4 for a vessel or aircraft chartered in or chartered out, see
instructions to determine whether you must attach a statement to Schedule V with additional information.
A B C D
1 Name of vessel or type of aircraft . . . .
2 Vessel or aircraft ID number . . . . . .
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 . . . . . . . . .
8 EIN or SSN of operator . . . . . . .
9
U.S. source gross transportation income. See
instructions for details regarding a statement
that must be attached to Schedule V
describing the method used to determine your
U.S. source gross transportation income .
10
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) . . . . . . . . . . . . . . . . . . . . . . . . .
12
For Paperwork Reduction Act Notice, see the Instructions for Form 1120-F.
Cat. No. 50821R
Schedule V (Form 1120-F) 2019