Surcharge Form
Self Rental
Owner Name
*
First Name
Last Name
Billing Email
*
example@example.com
STR Building Name
*
STR Unit Number
*
STR Permit Number
Surcharge Quarter
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Q1: January, February, March Income
Q2: April, May, June Income
Q3: July, August, September Income
Q4: October, November, December Income
Entire Year Q1-Q4
Surcharge Year
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2022
2023
2024
2025
2026
Total Taxable Sales (Gross Earnings)
*
Inclusive of nightly rates and all fees. Gross Earnings is not your payout amount. ----VRBO INSTRUCTIONS TO RETRIEVE GROSS EARNINGS ----Owner Dashboard > Reservation Manager > Financial Reporting > INPUT DATES, Click Refresh and you will see you gross earnings displayed. ---AIRBNB INSTRUCTIONS TO RETRIEVE GROSS EARNINGS--- Account > Payments & Payouts > Payouts > Transaction History > Gross Earnings > INPUT DATES > the spreadsheet that is presented for download includes your gross earnings.
Resort Association Assessment at 4%
*
Zero taxable sales reported. Please identify the circumstance for zero taxable sales in your property.
*
Property unrentable due to damage in unit/building
Renovations/upgrades
No bookings received
Owner Use
Other
'Other' was selected for the reason for zero taxable sales. Please explain your circumstance.
*
How many booking channels do you advertise on? (ex. VRBO, Airbnb, booking.com)
*
Income Report
*
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Please provide Rental Payment Records: Documentation showing payments received from guests during the rental period. Or Rental Income Statements: Any statements or reports generated by the rental platform or management company detailing rental income for the specified period.
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SCREENSHOT of Gross Earnings / Taxable Revenue for the Quarter - Booking Channel 1
*
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DO NOT UPLOAD A SPREADSHEET OR A PDF OF A SPREADSHEET--------VRBO INSTRUCTIONS--- (Owner Dashboard > Reservation Manager > Financial Reporting > INPUT DATES, Click Refresh > Take a SCREENSHOT with "Gross Booking Amount" column visible for all properties as well as date range)---AIRBNB INSTRUCTIONS--- (Account > Payments & Payouts > Payouts > Transaction History > INPUT DATES > Take a SCREENSHOT with "paid out" total and date range visible. PLEASE NOTE for Airbnb, the payout amount is not the same as gross earnings, in Q4 you will supply the annual earnings summary and we will ensure all payouts/gross earnings match the annual summary).
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SCREENSHOT of Gross Earnings / Taxable Revenue for the Quarter - Booking Channel 2
*
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DO NOT UPLOAD A SPREADSHEET OR A PDF OF A SPREADSHEET--------VRBO INSTRUCTIONS--- (Owner Dashboard > Reservation Manager > Financial Reporting > INPUT DATES, Click Refresh > Take a SCREENSHOT with "Gross Booking Amount" column visible for all properties as well as date range)---AIRBNB INSTRUCTIONS--- (Account > Payments & Payouts > Payouts > Transaction History > INPUT DATES > Take a SCREENSHOT with "paid out" total and date range visible. PLEASE NOTE for Airbnb, the payout amount is not the same as gross earnings, in Q4 you will supply the annual earnings summary and we will ensure all payouts/gross earnings match the annual summary).
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of
SCREENSHOT of Gross Earnings / Taxable Revenue for the Quarter - Booking Channel 3
*
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DO NOT UPLOAD A SPREADSHEET OR A PDF OF A SPREADSHEET--------VRBO INSTRUCTIONS--- (Owner Dashboard > Reservation Manager > Financial Reporting > INPUT DATES, Click Refresh > Take a SCREENSHOT with "Gross Booking Amount" column visible for all properties as well as date range)---AIRBNB INSTRUCTIONS--- (Account > Payments & Payouts > Payouts > Transaction History > INPUT DATES > Take a SCREENSHOT with "paid out" total and date range visible. PLEASE NOTE for Airbnb, the payout amount is not the same as gross earnings, in Q4 you will supply the annual earnings summary and we will ensure all payouts/gross earnings match the annual summary).
Cancel
of
SCREENSHOT of Gross Earnings / Taxable Revenue for the Quarter - Booking Channel 4
*
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DO NOT UPLOAD A SPREADSHEET OR A PDF OF A SPREADSHEET--------VRBO INSTRUCTIONS--- (Owner Dashboard > Reservation Manager > Financial Reporting > INPUT DATES, Click Refresh > Take a SCREENSHOT with "Gross Booking Amount" column visible for all properties as well as date range)---AIRBNB INSTRUCTIONS--- (Account > Payments & Payouts > Payouts > Transaction History > INPUT DATES > Take a SCREENSHOT with "paid out" total and date range visible. PLEASE NOTE for Airbnb, the payout amount is not the same as gross earnings, in Q4 you will supply the annual earnings summary and we will ensure all payouts/gross earnings match the annual summary).
Cancel
of
SCREENSHOT of Gross Earnings / Taxable Revenue for the Quarter - Booking Channel 5
*
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DO NOT UPLOAD A SPREADSHEET OR A PDF OF A SPREADSHEET--------VRBO INSTRUCTIONS--- (Owner Dashboard > Reservation Manager > Financial Reporting > INPUT DATES, Click Refresh > Take a SCREENSHOT with "Gross Booking Amount" column visible for all properties as well as date range)---AIRBNB INSTRUCTIONS--- (Account > Payments & Payouts > Payouts > Transaction History > INPUT DATES > Take a SCREENSHOT with "paid out" total and date range visible. PLEASE NOTE for Airbnb, the payout amount is not the same as gross earnings, in Q4 you will supply the annual earnings summary and we will ensure all payouts/gross earnings match the annual summary).
Cancel
of
SCREENSHOT of Gross Earnings / Taxable Revenue for the Quarter - Booking Channel 6
*
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DO NOT UPLOAD A SPREADSHEET OR A PDF OF A SPREADSHEET--------VRBO INSTRUCTIONS--- (Owner Dashboard > Reservation Manager > Financial Reporting > INPUT DATES, Click Refresh > Take a SCREENSHOT with "Gross Booking Amount" column visible for all properties as well as date range)---AIRBNB INSTRUCTIONS--- (Account > Payments & Payouts > Payouts > Transaction History > INPUT DATES > Take a SCREENSHOT with "paid out" total and date range visible. PLEASE NOTE for Airbnb, the payout amount is not the same as gross earnings, in Q4 you will supply the annual earnings summary and we will ensure all payouts/gross earnings match the annual summary).
Cancel
of
SCREENSHOT of Gross Earnings / Taxable Revenue for the Quarter - Booking Channel 7
*
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DO NOT UPLOAD A SPREADSHEET OR A PDF OF A SPREADSHEET--------VRBO INSTRUCTIONS--- (Owner Dashboard > Reservation Manager > Financial Reporting > INPUT DATES, Click Refresh > Take a SCREENSHOT with "Gross Booking Amount" column visible for all properties as well as date range)---AIRBNB INSTRUCTIONS--- (Account > Payments & Payouts > Payouts > Transaction History > INPUT DATES > Take a SCREENSHOT with "paid out" total and date range visible. PLEASE NOTE for Airbnb, the payout amount is not the same as gross earnings, in Q4 you will supply the annual earnings summary and we will ensure all payouts/gross earnings match the annual summary).
Cancel
of
SCREENSHOT of Gross Earnings / Taxable Revenue for the Quarter - Booking Channel 8
*
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DO NOT UPLOAD A SPREADSHEET OR A PDF OF A SPREADSHEET--------VRBO INSTRUCTIONS--- (Owner Dashboard > Reservation Manager > Financial Reporting > INPUT DATES, Click Refresh > Take a SCREENSHOT with "Gross Booking Amount" column visible for all properties as well as date range)---AIRBNB INSTRUCTIONS--- (Account > Payments & Payouts > Payouts > Transaction History > INPUT DATES > Take a SCREENSHOT with "paid out" total and date range visible. PLEASE NOTE for Airbnb, the payout amount is not the same as gross earnings, in Q4 you will supply the annual earnings summary and we will ensure all payouts/gross earnings match the annual summary).
Cancel
of
SCREENSHOT of Gross Earnings / Taxable Revenue for the Quarter - Booking Channel 9
*
Browse Files
Drag and drop files here
Choose a file
DO NOT UPLOAD A SPREADSHEET OR A PDF OF A SPREADSHEET--------VRBO INSTRUCTIONS--- (Owner Dashboard > Reservation Manager > Financial Reporting > INPUT DATES, Click Refresh > Take a SCREENSHOT with "Gross Booking Amount" column visible for all properties as well as date range)---AIRBNB INSTRUCTIONS--- (Account > Payments & Payouts > Payouts > Transaction History > INPUT DATES > Take a SCREENSHOT with "paid out" total and date range visible. PLEASE NOTE for Airbnb, the payout amount is not the same as gross earnings, in Q4 you will supply the annual earnings summary and we will ensure all payouts/gross earnings match the annual summary).
Cancel
of
SCREENSHOT of Gross Earnings / Taxable Revenue for the Quarter - Booking Channel 10
*
Browse Files
Drag and drop files here
Choose a file
DO NOT UPLOAD A SPREADSHEET OR A PDF OF A SPREADSHEET--------VRBO INSTRUCTIONS--- (Owner Dashboard > Reservation Manager > Financial Reporting > INPUT DATES, Click Refresh > Take a SCREENSHOT with "Gross Booking Amount" column visible for all properties as well as date range)---AIRBNB INSTRUCTIONS--- (Account > Payments & Payouts > Payouts > Transaction History > INPUT DATES > Take a SCREENSHOT with "paid out" total and date range visible. PLEASE NOTE for Airbnb, the payout amount is not the same as gross earnings, in Q4 you will supply the annual earnings summary and we will ensure all payouts/gross earnings match the annual summary).
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I certify that all of the information above is correct. I understand that if fraud is detected during routine audits, that I will be responsible for paying any presumptive invoices that occur as a result.
*
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