Self Rental Surcharge Form

Owner Name

First NameLast Name

Billing Email

example@example.com

STR Building Name

STR Unit Number

STR Permit Number

Surcharge Quarter

Surcharge Year

VRBO INSTRUCTIONS TO RETRIEVE EARNINGS REPORT:

https://help.vrbo.com/articles/How-do-i-view-my-payout-summary

AIRBNB INSTRUCTIONS TO RETRIEVE EARNINGS REPORT:

https://www.airbnb.com/help/article/304

Total Taxable Sales (Gross Earnings)

Resort Association Assessment at 4%

Zero taxable sales reported. Please identify the circumstance for zero taxable sales in your property.

'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

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.

SCREENSHOT of Gross Earnings / Taxable Revenue for the Quarter - Booking Channel 1

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).

SCREENSHOT of Gross Earnings / Taxable Revenue for the Quarter - Booking Channel 2

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).

SCREENSHOT of Gross Earnings / Taxable Revenue for the Quarter - Booking Channel 3

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).

SCREENSHOT of Gross Earnings / Taxable Revenue for the Quarter - Booking Channel 4

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).

SCREENSHOT of Gross Earnings / Taxable Revenue for the Quarter - Booking Channel 5

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).

SCREENSHOT of Gross Earnings / Taxable Revenue for the Quarter - Booking Channel 6

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).

SCREENSHOT of Gross Earnings / Taxable Revenue for the Quarter - Booking Channel 7

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).

SCREENSHOT of Gross Earnings / Taxable Revenue for the Quarter - Booking Channel 8

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).

SCREENSHOT of Gross Earnings / Taxable Revenue for the Quarter - Booking Channel 9

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).

SCREENSHOT of Gross Earnings / Taxable Revenue for the Quarter - Booking Channel 10

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).

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.