Application to share in Terrabis Refund of Unconstitutional County Taxes
Notice: Under Missouri statues, any sales tax refunds belong to the retailer who was forced to collect, account for, and remit those taxes to the state with monthly tax return paperwork. This form is for internal use by Terrabis voluntarily share with our customers the proceeds of its refund for the unconstitutional taxes.
Unconstitutional County Taxes Forms - MO
By submitting this form, you are agreeing to our Terms & Conditions and Privacy Policy
PRIVACY & RECORDS ACKNOWLEDGMENT
In compliance with state medical privacy regulations and Terrabis’s Data Security Policy, I acknowledge that:
- Terrabis does not provide bulk transaction history or printed purchase summaries at retail counters to protect patient and customer privacy.
- I have provided my own physical or digital receipts (issued at the time of sale) to help quantify the amount that Terrabis might voluntarily share from its refund.
NOTICE: PROTECTING PATIENT & CUSTOMER PRIVACY
Regarding Record Requests: In light of the recent Missouri Supreme Court ruling, Terrabis 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, Terrabis will not issue bulk transaction history reports at our retail counters.
How to Access Your Proof of Purchase:To file your claim, please utilize the records already in your possession
- Privacy Protection: Your purchase history is sensitive. Printing these records in a retail environment poses a risk to your personal and medical data security.
LEGAL RELEASE & AFFIDAVIT (PLEASE READ CAREFULLY)
By submitting this document, I hereby attest that I am the rightful purchaser for the transactions submitted and that I have not falsified or otherwise submitted any fraudulent information about my purchase history at Terrabis Dispensaries. We will review all requests for voluntary shares of Terrabis’s tax refund and inform you of our decision. Please note that the process and the issuance of said credit may take approximately 30 days from the date this form is received.
HAVE QUESTIONS?
Have questions? Please send an email to taxrefunds@terrabis.co with your Full Name in the subject line, and we will review it as soon as possible. Please note that it could take us up to 30 days to respond.

