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State Farm <br /> www,statefarm.comlcustomer-care/privacy-securitylprivacy information from your check to make an electronic fund <br /> or contact your State Farm Agent. transfer, funds may be withdrawn from your account as soon <br /> When you provide a check as payment, you authorize us as the same day we receive your payment, and you will not <br /> either to use information from your check to make a receive your check back from your financial institution. <br /> one-time electronic fund transfer from your account or to <br /> process the payment as a check transaction. When we use <br /> VEHICLE INFORMATION <br /> Review your policy information carefully. If anything is incorrect, or if there are any changes to your vehicle information, please <br /> let us know right away. <br /> Vehicle Identification <br /> Vehicle Description Number(VIN) Who principally drives this vehicle? How is this vehicle normally used? <br /> 2014 FORD FOCUS 1FADP3K25EL210148 ANTHONY MEDINA,a single individual, To Work,School or Pleasure. <br /> who will have 10 years of driving <br /> experience as of December 10,2025. <br /> Other Household Vehicle(s) <br /> Your premium may be influenced by other State Farm <br /> policies that currently insure the following vehicle(s) <br /> In your household; <br /> 2002 FORD F150 <br /> 2015 HONDA ACCORD <br /> 2004 BMW 5301 <br /> 2016 BMVV 4281 <br /> 2013 DODGE CHALLENGER <br /> 2014 FORD FIESTA <br /> The premium on the expiring policy term was based on model. In addition,we review the comprehensive, collision, <br /> 9,700 miles per year. bodily injury and property damage claim experience <br /> The premium on the renewal policy term was based on annually to determine which makes and models have <br /> 9,700 miles per year, earned decreases or increases from State Farm's standard <br /> Premium Adjustment rates. If any changes result from our reviews, adjustments <br /> Each year,we review our medical payments and;personal are reflected in the rates shown on this renewal notice, <br /> injury protection coverages claim experience to determine <br /> the vehicle safety discount that is applied to each make and <br /> DRIVER INFORMATION <br /> Assigned Driver(s) <br /> The following driver(s)are assigned to the vehicle(s)on this policy. <br /> Driving Experience as of Marital <br /> Name December 10, 2025 Status <br /> ANTHONY Mt DINA 10 years Single <br /> Policy Number,737 4537-F10-75C Page number 2 of 5 <br /> Prepared October 17,2025 <br />