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DocuSign Envelope ID:EAA6285F-8A68-4540-94FF-6DOOBC770228 <br /> Q=0 Fal III Mutual nuWlll�ullo <br /> PO Box 89000 Steelham, <br /> Aflanta GA 30356-9900 <br /> AT2 A-6492 A - —"�--- <br /> SHUGARS, DIANE <br /> 4321 FEARRINGTON POST AUTO RENEWAL <br /> PITTSBORO NC 27312-5060 <br /> AMOUNT DUE:$347.84 <br /> Payment is due by November 28,2020 <br /> Your State Farm Agent <br /> DONNY DINGESS <br /> Office:919-942-3366 <br /> Address:400 MARKET ST STE 103 <br /> Policy Number: 183 2453-E28-33 CHAPEL HILL,NC 27516-4028 <br /> Policy Period:November 28,2020 to May 28,2021 <br /> If you have anewordiferent car,have added anydd*M orhave moved, <br /> Ve I piliem ontactyouragent. <br /> 2016 HONDA CRV Thank you for choosing State Farm. <br /> Principal Driver: <br /> DIANE SHUGARS <br /> GOOD NEIGHBOR RELIEF PROGRAM FOR STATE CONVENIENT PAYMENT OPTION: You may use one of <br /> FARM CUSTOMERS IMPACTED BY COVID-19: On this State Farm's alternate payment plans which divides your <br /> bill you'll see a dividend in the form of a policy credit.This present premium into two separate payments. <br /> credit of$38.74 is reflected in your total amount due and is You may pay one half of the amount due,$173.92 on NOV <br /> for the time period of March 20 through May 31.State Farm 282020. <br /> is providing this credit to auto insurance customers,since The remaining half,will be due on JAN 27 2021.We will <br /> most of us were at home and driving less,resulting in fewer send you a reminder notice. <br /> accidents. We also have available a plan to let you pay your premium <br /> in monthly installments. For details on this plan and to <br /> (continued on next page) <br /> Policy Number:183 2453-E28-33 Page number 1 of 5 <br /> Prepared October 21,2020 <br /> 1004583 Please fold and tear here 143562 202 01-15 2018 <br /> ------------------------------------------------------ ----------------------------------------------------- <br /> Power To Pay Online Mobile Call Mail Visit yoi <br /> statefarm'com/pay Use the Automated Line:1-800-440-0998 Send us State R <br /> Your Way I13 s <br /> State Farm mobile app 942-336 a check agent <br /> Key code:3173208839 <br /> AStataFarm <br /> Insured:SHUGARS,DIANE 070 <br /> Policy Number: 183 2453-E28-33 State Farm Insurance Comp <br /> P.O. Box 588002 <br /> Amount Due:$347.84 North Metro, GA 30029-8002 -� <br /> Please pay by November 28,2020 �Il�l���lllllllllll�lll�l �ll �lllll� l �tlllllllll � l� <br /> Make payment to State Farm <br /> For Office Use Only AUTO REN $347.84 1220 <br /> 5-A5 A 6492-FB5D <br /> APP DT 01-07-2021 MUTL VOL <br /> 400117392 35903 0034784 733500183245311107> <br />