Form Dr-1c - Application For Collective Registration For Short-Term Rental Of Living Or Sleeping Accommodations Page 2

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DR-1C
R. 01/18
Suggested format for rental property written agreement:
I,
hereby authorize
(Name of Property or Time-Share Period Owner)
(Name of Agent, Representative, or Management Company)
to act as my agent to rent, lease, let, or grant a license to others to use my described property (properties) or time-share period
(periods) located at
,
and to register to charge, collect, and remit sales tax levied under Chapter 212, Florida Statutes (F.S.), to the Department of
Revenue. I acknowledge that, by renting, leasing, letting, or offering a license to others to use any transient accommodations, as
defined in Rule 12A-1.061, Florida Administrative Code (F.A.C.), I am exercising a taxable privilege under Chapter 212, F.S., and
as such acknowledge that I am ultimately liable for any sales tax due the State of Florida on such rentals, leases, lets, or licenses
to use. I fully understand that should the State be unable to collect any taxes, penalties, and interest due from the rental, lease,
let, or license to use my property, a warrant for such uncollected amount will be issued and becomes a lien against my property
until satisfied.
Signature of Property Owner/Lessor
Signature of Agent, Representative, or Management Company

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