State Farm Mutual Automobile Insurance Company

11350 Johns Creek Parkway

Duluth, GA 30098-0001

AT1 A-1572 A
SCARBOROUGH, CHRISTAL L &
W CHRISTOHER AUTO RENEWAL
275 MILLCREEK LN
ORANGEBURG SC 29118-9326
PREMIUM PAID: $546.69
DO NOT PAY.
Your premium is billed through the State Farm Payment Plan

State Farm Payment Plan Number: 1130404727

Your State Farm Agent

BILL CARTER
Policy Number: 056 3866-E20-40G Office: 803-536-9000
Policy Period: November 20, 2016 to May 20, 2017
Address: 1515 ST MATTHEWS RD
Vehicle: ORANGEBURG, SC 29118-2436
2015 JEEP GR CHEROKE If you have a new or different car, have added any drivers, or have moved,
please contact your agent.
Principal Driver:
CHRISTAL SCARBOROUGH

When you provide a check as payment, you authorize us transfer, funds may be withdrawn from your account as soon
either to use information from your check to make a as the same day we receive your payment, and you will not
one-time electronic fund transfer from your account or to receive your check back from your financial institution.
process the payment as a check transaction. When we use
information from your check to make an electronic fund

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1004583 143562 201 11-12-2014

Your auto insurance premium is $546.69.

Did you know you may qualify for a discount?

Call State Farm® Agent BILL CARTER at 803-536-9000
to see how much you can save!
VEHICLE INFORMATION
Review your policy information carefully. If anything is incorrect, or if there are any changes, please let us know right away.
How is this vehicle normally used?
Vehicle Identification National average: 12,000 miles driven
Vehicle Description Number (VIN) Who principally drives this vehicle? annually per vehicle
2015 JEEP GR CHEROKE 1C4RJEAGXFC238538 CHRISTAL SCARBOROUGH, a single To Work, School or Pleasure. Driven over
female, who will be age 32 as of November 7,500 miles annually.
20, 2016.

Other Household Vehicle(s)

Your premium may be influenced by other State Farm
policies that currently insure the following vehicle(s)
in your household:
2003 NISSAN MAXIMA
2006 DODGE MAGNUM
2010 DODGE RAM 1500

Premium Adjustment annually to determine which makes and models have

Each year, we review our medical payments and personal earned decreases or increases from State Farm's standard
injury protection coverages claim experience to determine rates. If any changes result from our reviews, adjustments
the vehicle safety discount that is applied to each make and are reflected in the rates shown on this renewal notice.
model. In addition, we review the comprehensive, collision,
bodily injury and property damage claim experience

DRIVER INFORMATION
Assigned Driver(s)
The following driver(s) are assigned to the vehicle(s) on this policy.

Age as of Marital
Name November 20, 2016 Gender Status
CHRISTAL SCARBOROUGH 32 Female Single

Other Household Driver(s)

In addition to the Principal Driver(s) and Assigned
Driver(s), your premium may be influenced by the
drivers shown below and other individuals permitted to
drive your vehicle. This list does not extend or expand
coverage beyond that contained in this automobile
policy. The drivers listed below are the drivers reported
to us that most frequently drive other vehicles in your
household.
FORREST SCARBOROUGH
W CHRISTOPHER SCARBOROUGH
COLLIN SCARBOROUGH

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Principal Driver & Assigned Drivers Your premium may be influenced by the information shown
For each automobile, the Principal Driver is the individual for these drivers.
who most frequently drives it.
Each driver is designated as an Assigned Driver on the
household automobile that he or she most frequently drives.

IMPORTANT NOTICE REGARDING YOUR PREMIUM

State Farm works hard to offer you the best combination of Notice of insurance information collection practices -
price, service, and protection. The amount you pay for personal, family, or household insurance transactions:
automobile insurance is determined by many factors such We often collect personal information from persons other
as the coverages you have, where you live, the kind of car than the individual or individuals listed on the policy. Such
you drive, how your car is used, who drives the car, and personal information may, in certain circumstances, be
information from consumer reports. disclosed to third parties without your authorization. If you
You have the right to request, no more than once annually, would like additional information concerning the collection
that your policy be re-rated using a current credit-based and disclosure of personal information - and your right to
insurance score. Re-rating could result in a lower rate, no see and correct any personal information in your files - it will
change in rate, or a higher rate. be furnished upon request.

COVERAGE AND LIMITS See your policy for an explanation of these coverages.
A Liability
Bodily Injury 25,000/50,000
Property Damage 50,000 $184.19
P5 Personal Injury Protection 5,000 $35.07
D 250 Deductible Comprehensive $116.86
G 250 Deductible Collision $143.80
H Emergency Road Service $3.90
R1 Car Rental & Travel Expense
80% Per Day, $1,500 Max $14.50
U Uninsured Motor Vehicle
Bodily Injury 25,000/50,000
Property Damage 50,000 $14.07
W Underinsured Motor Vehicle
Bodily Injury 25,000/50,000
Property Damage 50,000 $34.30
Total Premium $546.69

If any coverage you carry is changed to give broader you the broader protection without issuing a new policy,
protection with no additional premium charge, we will give starting on the date we adopt the broader protection.

DISCOUNTS These adjustments have already been applied to your premium.

Multiple Line P
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DISCOUNTS continued

Multicar P
Vehicle Safety P
Accident-Free P
Total Discounts $419.03

SURCHARGES AND DISCOUNTS

AUTOMOBILE RATING PLAN - Applies to private chargeable according to the provisions and conditions of the
passenger cars only. former South Carolina Merit Plan).
Accident-Free Discount ­ Once your policy has been in Surcharges ­ If there are chargeable accidents, you may
force for at least three years with no chargeable accidents, lose your Good Driving Discount or Accident-Free Discount
you may qualify for our Accident-Free Discount. Once you and receive accident surcharges. But if the accident is the
qualify, this discount applies as long as there are no first to become chargeable in nine years and this policy has
chargeable accidents, and may even increase over time. been in force for at least that long, the Accident-Free
Good Driving Discount - Newer policyholders who do not Discount will continue and no surcharge will apply. The
yet qualify for our Accident-Free Discount (available after surcharge for each accident depends upon the number and
three years with no chargeable accidents) may already be timing of the accidents, and each accident surcharge will
receiving a Good Driving Discount. This discount continues remain in effect up to three years.
to apply until your policy qualifies for the Accident-Free Surcharges will be removed if the company is given
Discount as long as there are no chargeable accidents and satisfactory evidence that the driver involved is no longer a
no new drivers. If you add new drivers, they must also member of the household or will not be driving the car in the
qualify in order for your Good Driving Discount to continue. future. If that driver is insured on another State Farm policy,
Chargeable Accidents - For new business rating, an his or her driving record will be considered in the rating of
accident is chargeable if it results in $750 or more of the other policy.
damage to any property. For renewal business, an accident These discounts and surcharges do not apply to all
is chargeable as of the date State Farm pays at least $750 coverages. For complete details, see your State Farm agent.
under property damage liability and collision coverages for
an at-fault accident. (Prior to March 1, 1999, an accident is

ADDITIONAL INFORMATION
If the above information is incomplete or inaccurate, or if you
want to confirm the information we have in our records
please contact your agent.

Buying a new car? Remember to contact your agent!

When you buy an additional car or one that replaces a car already on your policy, you need to report the change to your agent
promptly. Even though the dealership you purchased the car from may offer to notify your agent or insurance company, you, as
the named insured, are responsible for reporting all changes to your auto policy. By contacting your agent, you can help:
• avoid any complications or lack of coverage in the event of an accident or loss,
• avoid insurance verification problems with a lienholder, the police, or the department of motor vehicles, and
• ensure that you receive any new discounts you may be entitled to.
Your current State Farm policy automatically provides certain coverages for a new or replacement car for up to a specified, limited
number of days after you take possession of the car. Please refer to your policy for the number of days that applies in your state.
If you have any questions about coverage for a newly acquired car, please contact your State Farm agent.
Disclaimer: This message is provided for informational purposes only and does not grant any insurance coverage. The terms and
conditions of coverage are set forth in your State Farm Car Policy booklet, the most recently issued Declarations Page, and any
applicable endorsements.

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Save money with our Drive Safe & SaveTM Discount
Empowering Your Drive TM through Drive Safe & Save Mobile
Drive Safe & Save Mobile is one more way we help you save money on your auto insurance. This innovative free app uses your
phone's technology to collect basic information about your driving. How much you drive determines the size of your discount, and
good drivers can save even more. You'll receive an initial participation discount just for enrolling, which will be replaced, after an
introductory period, by a discount adjusted at the policy renewal based on information collected.
You may be eligible to participate in Drive Save & Save Mobile if you:
• Have an eligible smartphone running Android version 4.3 or higher -or- iPhone 4s or newer running iOS 8 or higher,
• Place a Bluetooth beacon in your vehicle (we provide this to you),
• Maintain an active Bluetooth connection when driving,
• Provide periodic odometer readings.
Contact your State Farm agent or visit drivesafeandsave.com for details and to enroll.

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