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State Farm Mutual Automobile Insurance Company <br /> PO Box Boornin2f 58 61702-2358 Stareā– ar <br /> AT2 A-6406 A <br /> ROMERO, ANTONIO &AIDE & <br /> KARINA AUTO RENEWAL <br /> <br /> TUSTIN CA 92780-1920 <br /> PREMIUM PAID: $1,091.49 <br /> Digitally signed <br /> DO NOT PAY. <br /> Tu Tran byruTran Your premium is billed through the State Farm Payment Plan <br /> APPROVED Nguy n <br /> ByruTrattNguyenat77:33am,Apr21,2025 Nguyen late:2025.0421 State Farm Payment Plan Number: 1329070423 <br /> Your State Farm Agent <br /> ARACELI PADILLA INS AGENCY INC <br /> Policy Number: 711 6355-A27-75A Office: 714-543-5858 <br /> Policy Period:January 27,2025 to July 27, 2025 Address: 2424 N GRAND AVE STE B <br /> Vehicle: SANTA ANA, CA 92705-8757 <br /> 2018 AC U RA TLX Ifyou have a new ordilferenf car,have added anydrivers,orhave moved, <br /> Principal Driver: <br /> please contact your agent. <br /> KARINA A ROMERO Thank you for choosing State Farm. <br /> Notice of insurance information collection practices- You have the right to submit a written request to access, <br /> personal, family,or household insurance transactions: correct, amend, or delete your personal information and the <br /> We may collect customer information from persons other right to receive a response within 30 days of submitting your <br /> than the individual or individuals applying for coverage. request. If we deny your request,you have the right to file a <br /> Such customer information as well as other personal or statement with us containing the information you feel is <br /> privileged information subsequently collected may, in certain accurate and fair along with the reasons you disagree with <br /> circumstances, be disclosed to third parties without your our denial. Instructions on how to file such request and our <br /> authorization as permitted by law. full privacy notice can be found <br /> (continued on next page) <br /> Policy Number:711 6355-A27-75A Page number 1 of 5 <br /> Prepared December 5,2024 <br /> 1004583 143562 202 01-15-2018 <br /> Thanks for being part <br /> t <br /> of our neighborhood. <br /> '` You mean a lot to us. It you need anything, <br /> call State Farm° Agent ARACELI PADILLA <br /> 1N5 AGENCY INC at 714-543-5858. <br /> TP31 <br />