SCHEDULE V 
(Form 1120-F)                   List of Vessels or Aircraft, Operators, and Owners
                                                                                                               OMB No. 1545-0123
(Rev. December 2022)                                   Attach to Form 1120-F.
Department of the Treasury  
Internal Revenue Service          Go to www.irs.gov/Form1120F for instructions and the latest information.
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) (Rev. 12-2022)