Share in Sunrise’s Refund of Unconstitutional County Taxes

Sunrise Dispensary

Application to Share in Sunrise’s Refund of Unconstitutional County Taxes

Notice: Under Missouri statutes, any sales tax refunds belong to the retailer who was required to collect, account for, and remit those taxes to the state via monthly tax returns. This form is for internal use by Sunrise Dispensary to voluntarily share with its customers the proceeds of any refund received for unconstitutionally collected taxes.

1) CUSTOMER & PATIENT INFORMATION

Full Name(Required)

First Middle Last

As it appears on State-based ID or Medical Marijuana Card.

Phone(Required)

Email(Required)

Sunrise Loyalty ID (Optional)

2) CLAIM VERIFICATION

Eligibility Period: October 1, 2023 - July 22, 2025

Dispensary Location(s)*(Required)

Florissant • St. Louis

Sunrise Beach • Lake of the Ozarks

To be completed by Customer using original or digital receipts:

Total Number of Receipts Attached*(Required)

Please enter a number from 1 to 250.

Receipt Upload*(Required)

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB, Max. files: 250.

3) PRIVACY & RECORDS ACKNOWLEDGMENT

In compliance with state medical privacy regulations and Sunrise's Data Security Policy, I acknowledge that:

Sunrise does not provide bulk transaction histories or printed purchase summaries at retail counters, in order to protect patient and customer privacy.
I have provided my own physical or digital receipts (issued at the time of sale) to help establish the amount that Sunrise may voluntarily share from its refund.

NOTICE: PROTECTING PATIENT & CUSTOMER PRIVACY

Regarding record requests

In light of the recent Missouri Supreme Court ruling, Sunrise is dedicated to helping our community secure their 3% tax credits. However, to ensure the highest level of data security and to remain in strict compliance with medical privacy regulations, Sunrise will not issue bulk transaction history reports at our retail counters.

Why we do this:

Privacy protection: Your purchase history is sensitive. Printing these records in a retail environment poses a risk to your personal and medical data security.

How to access your proof of purchase

To file your claim, please use records already in your possession:

Physical receipts: The original receipt issued at the time of sale will show what taxes you paid.
Digital receipts: Check your registered email for receipts sent from our point-of-sale or kiosk systems. These are also acceptable proof of taxes paid.

Thank you for helping us keep your personal information safe and secure.

4) LEGAL RELEASE & AFFIDAVIT (Please Read Carefully)

By submitting this form, I attest that I am the rightful purchaser for the transactions submitted and that I have not falsified or submitted any fraudulent information regarding my purchase history at Sunrise Dispensaries. All requests for a voluntary share of Sunrise's tax refund will be reviewed, and you will be notified of our decision. Please note that processing and issuance of any credit may take approximately 30 days from the date this form is received.

Have questions?

Please email info@showmesunrise.com with your full name in the subject line, and we will respond as soon as possible. Please note that responses may take up to 30 days.