Schedule V (Form 1120-F) - List Of Vessels Or Aircraft, Operators, And Owners - 2012

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SCHEDULE V
OMB No. 1545-0126
List of Vessels or Aircraft, Operators, and Owners
(Form 1120-F)
2012
Attach to Form 1120-F.
Department of the Treasury
Information about Schedule V (Form 1120-F) and its separate instructions is at
Internal Revenue Service
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.
A
B
C
D
1
Name of vessel or type of aircraft .
.
.
.
2
Vessel or aircraft ID number .
.
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3
Yes
No
Yes
No
Yes
No
Yes
No
Was the vessel or aircraft chartered in? .
.
4
Was the vessel or aircraft chartered out?
.
Yes
No
Yes
No
Yes
No
Yes
No
5
Name of registered owner
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6
EIN or SSN of registered owner
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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
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 statements) .
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10
11
Amount of line 10 that is exempt by treaty (attach Form 8833).
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11
12
Subtract line 11 from line 10. Enter the result here and on Form 1120-F, Section I, line
9, column (b) .
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12
For Paperwork Reduction Act Notice, see the Instructions for Form 1120-F.
Schedule V (Form 1120-F) 2012
Cat. No. 50821R

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