Scribd Logo
Upload

Welcome to Scribd!

  • 41 views

    Seguro Carro 2,12-Páginas-1

    Uploaded by

    Marius Srr
    This premium due notice informs the policyholder that a payment of $98.62 is due by September 21, 2023 to maintain their personal auto insurance policy. The notice provides the policy number, dates of coverage, payment due date and options to pay in installments or in full. It warns that non-payment will result in policy cancellation and notes fees for late or returned payments.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Seguro Carro 2,12-Páginas-1

    Uploaded by

    Marius Srr
    41 views1 page
    This premium due notice informs the policyholder that a payment of $98.62 is due by September 21, 2023 to maintain their personal auto insurance policy. The notice provides the policy number, dates of coverage, payment due date and options to pay in installments or in full. It warns that non-payment will result in policy cancellation and notes fees for late or returned payments.

    Original Title

    Seguro Carro 2,12-páginas-1

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This premium due notice informs the policyholder that a payment of $98.62 is due by September 21, 2023 to maintain their personal auto insurance policy. The notice provides the policy number, dates of coverage, payment due date and options to pay in installments or in full. It warns that non-payment will result in policy cancellation and notes fees for late or returned payments.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    41 views1 page

    Seguro Carro 2,12-Páginas-1

    Uploaded by

    Marius Srr
    This premium due notice informs the policyholder that a payment of $98.62 is due by September 21, 2023 to maintain their personal auto insurance policy. The notice provides the policy number, dates of coverage, payment due date and options to pay in installments or in full. It warns that non-payment will result in policy cancellation and notes fees for late or returned payments.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Incline Casualty Company PREMIUM DUE NOTICE

    Administered by: Embark General Insurance Agency, LLC PERSONAL AUTO POLICY
    License# L108040
    Phone: (833) 362-2751
    P.O. Box 500050
    Sandy Springs, GA 31150-0050
    www.EmbarkGeneral.com

    Policy Number Effective Date – Expiration Date Due Date Bill Method / Pay Plan Producer Code
    IFL0029221-00 08/21/2023 – 02/21/2024 09/21/2023 6-month 25% Dn, 4 Inst FL182409

    Insured Name and Address Contact Information


    MARIO ALFONSO SIERRA Univista LLC dba Univista Insurance-FL182409
    7045 SW 17TH TER 6505 SW 8th St
    MIAMI, FL 33155 Miami, FL 33144
    (305) 639-8988

    Premium Due Notice (Aviso de Prima Debido)


    A payment is now due on your auto insurance policy. Payment of at least the Minimum Due shown below must be received
    by us prior to the Due Date shown above. If you prefer to pay your policy in full, that amount has also been indicated below.
    Please note that if your payment is returned by your bank due to non-sufficient funds or is otherwise invalid, your policy will
    be cancelled.

    Esto es su saldo de cuenta. El pago debe ser recibido por nosotros antes de la fecha de vencimiento. Por favor tome en
    cuenta que si su pago es devuelto por su banco debido a fondos no-suficientes o es de otro modo invalido, su póliza de
    aseguranza cancelara automáticamente. Los planes de financiación incluyen honorarios de procesamiento de pago. Si
    prefiere pagar su póliza en su totalidad, la cantidad requerida está indicada abajo.

    Minimum Due (Pago Minimo): $98.62


    Pay In Full (Pago Completo):

    Future Installments – Due dates and amounts are subject to change


    Description Amount Due Date Description Amount Due Date
    6-month 25% Dn, 4 Inst $98.62 9/21/2023 6-month 25% Dn, 4 Inst $98.64 12/22/2023
    6-month 25% Dn, 4 Inst $98.62 10/22/2023
    6-month 25% Dn, 4 Inst $98.62 11/21/2023

    Failure to maintain personal injury protection and property damage liability insurance on a motor vehicle when required by law
    may result in the loss of registration and driving privileges in this state; which can result in a nonrefundable reinstatement fee of
    $150 for the first reinstatement, $250 for the second reinstatement, and $500 for each subsequent reinstatement during the 3
    years following the first reinstatement.

    Please be aware that texting or using your phone in a non- hands free manner while driving is illegal and could result in fines
    and jeopardize your insurance coverage. Protect your life and insurance – Don’t text and Drive.

    TEAR HERE
    Premium Due Notice
    Please return this stub and include the policy number on your payment. All installment plans include processing fees.

    Policy Number: IFL0029221-00 TO MAKE A PAYMENT: By phone (833) 362-2751 or online


    www.embarkgeneral.com
    Named Insured: MARIO ALFONSO SIERRA
    Credit card payments are processed through a third-party
    Enclosed Amount: _____________ payment processor, One Inc. A $4.95 fee will be included in the
    total amount charged to your amount.
    Due Date: 09/21/2023
    Please make checks payable and remit to:
    Minimum Due: $98.62
    To Pay in Full: Incline Casualty Company
    P.O. Box 500050
    Sandy Springs, GA 31150-0050

    Administered by: Embark General Insurance Agency, LLC LIC#L108040


    IFL-1004 06/21 Insured Copy Date of Notice: 08/21/2023

    08212023 IFL0029221-00 0000000


    MARIO SIERRA eSign: 8/21/2023 7:41 AM CDT, IP: 2600:1700:2a70:a50:51c5:e39a:51b3:11e7

    You might also like