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2. Short Term Rental Address*
4. City*
5. State*
6. Zip Code*
8. Reporting Month*
   -- Select One --JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
10. Total Transient Rents Charged and Received for Month Selected*
12. Transient Occupancy Tax Amount Due*

    Use the Transient Occupancy Tax Form to calculate this number.

14. REQUIRED - Upload Completed Transient Occupancy Tax Form*

    Please upload your completed Transient Occupancy Tax Return Form here. 

16. Acknowledgement of Terms*

    I declare, under penalty of making a false declaration that I am authorized to make this statement and, to the best of my knowledge, it is a true, correct, and complete statement made in good faith for the period stated, in compliance with the provisions.

    1. Yes, I declare.
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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

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