Declaration

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Information as of January 4, 2022

Policyholder(s) Page 1 of 2
Allstate Insurance Company Tammy White, Jeffrey S White
PO Box 660598
Dallas TX 75266-0598 Policy number
835 196 122

FTTAFFADADTFATAAFDFDATFFDAFTADTFDAFTDDFFATFTFTDAFDAATDDTFDDDTDAAD You may contact us at 1-800-ALLSTATE


or visit us at www.allstate.com.
TAMMY WHITE
3 ROCKPORT CT
GREENSBORO NC 27406-8773

Welcome to Allstate!
Thank you for choosing Allstate for your auto insurance. We look forward to protecting what’s important to you
for many years.
Here’s your insurance policy
Along with your new auto policy, we've included a guide to what’s in this package and answers to some common
questions.
How to contact us
Please give your Allstate Agent a call at 1-800-ALLSTATE (1-800-255-7828) if you have any questions. It’s our
job to make sure you’re in good hands.
(ed. 2)

Sincerely,

Julie Parsons
President, Allstate Property and Casualty Insurance Company
NA515-1
Policy number: 835 196 122 Page 2 of 2
Policy effective date: January 5, 2022

Your Insurance Coverage Checklist


We’re happy to have you as an Allstate customer! This checklist outlines what’s in this package and provides answers to some
basic questions, as well as any “next steps” you may need to take.

£ What’s in this package? £ What about my bill?


See the guide below for the documents that are included. Unless you’ve already paid your premium in full, we’ll send
Next steps: review your Policy Declarations to confirm you your bill separately. Next steps: please pay the minimum
have the coverages, coverage limits, premiums and amount by the due date listed on it.
savings that you requested and expected. Read any You can also pay your bill online at Allstate.com/support
Endorsements or Important Notices to learn about new or through the Allstate mobile app. If you’re enrolled in the
policy changes, topics of special interest, as well as Allstate® Easy Pay Plan, we’ll send you a statement
required communications. Keep all of these documents detailing your payment withdrawal schedule. Para
with your other important insurance papers. español, Ilamar al 1-800-979-4285.

£ Am I getting all the discounts I should?


Confirm with your Allstate Agent that you’re benefiting £ What if I have questions?
from all the discounts you’re eligible to receive. Visit Allstate.com/support to browse our list of frequently
asked questions and find information regarding billing or
£ How can I get help with a roadside emergency? policy documents. You can also create an online account
When you need help on the road, trust Allstate Roadside to access and manage your policies. Para español, Ilamar
Services to be there for you. Good Hands Rescue® al 1-800-979-4285.
assistance provides pay-per-use roadside help on
demand. Find it in the Allstate® mobile app or call 1-800
ALLSTATE® (1-800-255-7828).

A guide to your welcome package

Proof of Policy Policy Policy Important Insurance Made


Insurance Declarations* Your policy is Endorsements Notices Simple
ID Cards The Policy your insurance If changes are We use these Insurance seem AUTR35NC2022010423374801A-000100-001-0-00-00

Your insurance Declarations contract; it lists made to your notices to call complicated?
cards are legally lists policy all of the terms policy, these attention to Our online
required, so details, such as and conditions of documents will particularly guides explain
please keep your specific your coverage. include your new important coverage terms
them in your drivers, vehicles contract coverages, policy and features:
vehicle at all and coverages. language. changes and www.allstate.com/
madesimple
times. discounts.
Espanol.allstate.com
/facildeentender

* To make it easier to see where you may have gaps in your protection, we’ve highlighted any coverages you do not have
220104B004574

in the Coverage Detail section in the enclosed Policy Declarations.


065 010 032
Thank you for choosing Allstate

Proof of Insurance Card Page 1 of 2


For your convenience, two insurance cards have been included for each vehicle. State law requires that one
of these cards be kept in each vehicle. Please place them in your vehicles by the effective date.

IDNC
Please use the printed Insurance Cards below. Please use the printed Insurance Cards below.

North Carolina North Carolina


Proof of Insurance Card Proof of Insurance Card
Allstate Property and Casualty Insurance Company Allstate Property and Casualty Insurance Company
Tammy and Jeffrey S White Tammy and Jeffrey S White
3 Rockport Court 3 Rockport Court
Greensboro NC 27406-8773 Greensboro NC 27406-8773

POLICY NUMBER YEAR / MAKE / MODEL POLICY NUMBER YEAR / MAKE / MODEL
835 196 122 2021 Toyota Corolla 835 196 122 2021 Toyota Corolla
EFFECTIVE DATE VEHICLE ID NUMBER EFFECTIVE DATE VEHICLE ID NUMBER
01/05/22 5YFEPMAE6MP198534 01/05/22 5YFEPMAE6MP198534
EXPIRATION DATE EXPIRATION DATE
07/05/22 07/05/22
This card should be carried in the vehicle at all times as evidence of insurance. This card should be carried in the vehicle at all times as evidence of insurance.

North Carolina North Carolina


Proof of Insurance Card Proof of Insurance Card
Allstate Property and Casualty Insurance Company Allstate Property and Casualty Insurance Company
Tammy and Jeffrey S White Tammy and Jeffrey S White
3 Rockport Court 3 Rockport Court
Greensboro NC 27406-8773 Greensboro NC 27406-8773

POLICY NUMBER YEAR / MAKE / MODEL POLICY NUMBER YEAR / MAKE / MODEL
835 196 122 2011 Toyota Camry 835 196 122 2011 Toyota Camry
EFFECTIVE DATE VEHICLE ID NUMBER EFFECTIVE DATE VEHICLE ID NUMBER
01/05/22 4T1BF3EK3BU214278 01/05/22 4T1BF3EK3BU214278
EXPIRATION DATE EXPIRATION DATE
07/05/22 07/05/22
This card should be carried in the vehicle at all times as evidence of insurance. This card should be carried in the vehicle at all times as evidence of insurance.

North Carolina North Carolina


Proof of Insurance Card Proof of Insurance Card
Allstate Property and Casualty Insurance Company Allstate Property and Casualty Insurance Company
Tammy and Jeffrey S White Tammy and Jeffrey S White
3 Rockport Court 3 Rockport Court
Greensboro NC 27406-8773 Greensboro NC 27406-8773

POLICY NUMBER YEAR / MAKE / MODEL POLICY NUMBER YEAR / MAKE / MODEL
835 196 122 2016 Toyota Camry 835 196 122 2016 Toyota Camry
EFFECTIVE DATE VEHICLE ID NUMBER EFFECTIVE DATE VEHICLE ID NUMBER
01/05/22 4T1BF1FK2GU153628 01/05/22 4T1BF1FK2GU153628
EXPIRATION DATE EXPIRATION DATE
07/05/22 07/05/22
This card should be carried in the vehicle at all times as evidence of insurance. This card should be carried in the vehicle at all times as evidence of insurance.
Policy number: 835 196 122 Page 2 of 2
Policy effective date: January 5, 2022

Please use the printed Insurance Cards below. Please use the printed Insurance Cards below.

If you have an accident or loss: If you have an accident or loss:


• Get medical attention if needed. • Get medical attention if needed.
• Notify the police immediately. • Notify the police immediately.
• Obtain names, addresses, phone numbers (work & home) and • Obtain names, addresses, phone numbers (work & home) and
license plate numbers of all persons involved, including license plate numbers of all persons involved, including
passengers and witnesses. passengers and witnesses.
• Call 1-800-ALLSTATE (1-800-255-7828) or • Call 1-800-ALLSTATE (1-800-255-7828) or
logon to allstate.com. logon to allstate.com.

If you have an accident or loss: If you have an accident or loss:


• Get medical attention if needed. • Get medical attention if needed.
• Notify the police immediately. • Notify the police immediately.
• Obtain names, addresses, phone numbers (work & home) and • Obtain names, addresses, phone numbers (work & home) and
license plate numbers of all persons involved, including license plate numbers of all persons involved, including
passengers and witnesses. passengers and witnesses.
• Call 1-800-ALLSTATE (1-800-255-7828) or • Call 1-800-ALLSTATE (1-800-255-7828) or
logon to allstate.com. logon to allstate.com.
AUTR35NC2022010423374801A-000100-002-0-00-11

If you have an accident or loss: If you have an accident or loss:


• Get medical attention if needed. • Get medical attention if needed.
• Notify the police immediately. • Notify the police immediately.
• Obtain names, addresses, phone numbers (work & home) and • Obtain names, addresses, phone numbers (work & home) and
license plate numbers of all persons involved, including license plate numbers of all persons involved, including
passengers and witnesses. passengers and witnesses.
220104B004574

• Call 1-800-ALLSTATE (1-800-255-7828) or • Call 1-800-ALLSTATE (1-800-255-7828) or


logon to allstate.com. logon to allstate.com.
065 010 032
Auto policy declarations
Your policy effective date is January 5, 2022

Page 1 of 6

Information as of January 4, 2022


Total Premium for the Policy Period
Please review your insured vehicles and verify their VINs are correct. Summary
Vehicles covered Identification Number (VIN) Premium Named Insured(s)
2016 Toyota Camry 4T1BF1FK2GU153628 $586.83 Tammy White, Jeffrey S White
2011 Toyota Camry 4T1BF3EK3BU214278 486.82 Mailing address
2021 Toyota Corolla 5YFEPMAE6MP198534 856.82 3 Rockport Court
Additional coverages 76.50 Greensboro NC 27406-8773
Total* $2,006.97 Policy number
835 196 122
* Your bill will be mailed separately. Before making a payment, please refer to your Your policy provided by
latest bill, which includes payment options and installment fee information. If you do Allstate Property and Casualty
not pay in full, you will be charged an installment fee(s). Insurance Company
NOTICE: THE PREMIUM THAT WE ARE CHARGING FOR AUTOMOBILE Policy period
PHYSICAL DAMAGE AND RELATED EXPENSES THAT COVERS THE DAMAGE Beginning January 5, 2022 through July
TO YOUR COVERED VEHICLE(S) EXCEEDS THE PREMIUM BASED UPON THE 5, 2022 at 12:01 a.m. standard time
APPROVED RATES IN NORTH CAROLINA, IN ACCORDANCE WITH G.S. You may contact us at
58-36-30(b). 1-800-ALLSTATE
or visit us at
www.allstate.com
Discounts (included in your total premium)
Multiple Car $777.50 Passive Restraint $25.50 Some or all of the information on your
Policy Declarations is used in the rating
Antilock Brakes $9.40 Premier Plus $357.90
of your policy or it could affect your
Good Payer $83.40 Preferred Package $198.50 eligibility for certain coverages. Please
Drivewise® $124.90 New Car $72.50 notify us immediately if you believe that
any information on your Policy
Total discounts $1,649.60
Declarations is incorrect. We will make
corrections once you have notified us,
and any resulting rate adjustments, will
Discounts per vehicle be made only for the current policy
2016 Toyota Camry $464.90 period or for future policy periods.
Multiple Car $235.60 Passive Restraint $8.50 Please also notify us immediately if you
Antilock Brakes $2.60 Premier Plus $103.00 believe any coverages are not listed or
Good Payer $23.60 Preferred Package $56.20 are inaccurately listed.
Drivewise® $35.40
2011 Toyota Camry $358.40
Multiple Car $197.70 Passive Restraint $8.50
Antilock Brakes $1.80 Premier Plus $71.50
Good Payer $16.20 Preferred Package $38.50
Drivewise® $24.20
2021 Toyota Corolla $826.30
Multiple Car $344.20 Passive Restraint $8.50
Antilock Brakes $5.00 Premier Plus $183.40
NC010NBD

New Car $72.50 Good Payer $43.60


Preferred Package $103.80 Drivewise® $65.30
Auto policy declarations Page 2 of 6
Policy number: 835 196 122
Policy effective date: January 5, 2022

Listed drivers on your policy


Tammy White
Jeffrey White
Kiana White

Excluded drivers from your policy


None

NC010NBD
AUTR35NC2022010423374801A-000100-003-0-00-00
220104B004574
065 010 032
Auto policy declarations
Policy number: 835 196 122
Page 3 of 6
Policy effective date: January 5, 2022

Coverage detail for 2016 Toyota Camry


Coverage Limits Deductible Premium
Automobile Liability Insurance
• Bodily Injury $100,000 each person Not applicable $126.42
$300,000 each occurrence
• Property Damage $50,000 each occurrence Not applicable $109.91
(1) Comprehensive - Excluding Collision Actual cash value $1,000 $62.00
(2) Personal Effects $100 $0
Auto Collision Insurance Actual cash value $1,000 $256.00
Towing and Labor Costs Not purchased*
Transportation Expenses Increased Limits Not applicable $13.00
$30 per day to maximum $900
Audio, Visual, and Data Electronic Not purchased*
Equipment
Automobile Medical Payments $2,000 each person Not applicable $19.50
Customizing Equipment Not purchased*
Repair or Replacement Coverage Not purchased*
For Damage To Your Auto
Total premium for 2016 Toyota Camry $586.83

* This coverage can provide you with valuable protection. To help you stay
current with your insurance needs, contact your Allstate agent to discuss
coverage options and other products and services that can help protect
you.

VIN 4T1BF1FK2GU153628 Lienholder


Bridgecrest Acceptance Corporation
Rating information
• Owns residence
• This vehicle is driven over 7,500 miles per year, 10 - 20 miles to
work/school, married driver age 53, good driver rate

Coverage detail for 2011 Toyota Camry


Coverage Limits Deductible Premium
Automobile Liability Insurance
• Bodily Injury $100,000 each person Not applicable $126.41
$300,000 each occurrence
• Property Damage $50,000 each occurrence Not applicable $109.91
(1) Comprehensive - Excluding Collision Actual cash value $1,000 $46.00
(2) Personal Effects $100 $0
Auto Collision Insurance Actual cash value $1,000 $172.00
Towing and Labor Costs Not purchased*
NC010NBD

(continued)
Auto policy declarations Page 4 of 6
Policy number: 835 196 122
Policy effective date: January 5, 2022

Coverage Limits Deductible Premium


Transportation Expenses Increased Limits Not applicable $13.00
$30 per day to maximum $900
Audio, Visual, and Data Electronic Not purchased*
Equipment
Automobile Medical Payments $2,000 each person Not applicable $19.50
Customizing Equipment Not purchased*
Repair or Replacement Coverage Not purchased*
For Damage To Your Auto
Total premium for 2011 Toyota Camry $486.82

* This coverage can provide you with valuable protection. To help you stay
current with your insurance needs, contact your Allstate agent to discuss
coverage options and other products and services that can help protect
you.

VIN 4T1BF3EK3BU214278 Lienholder


Consumer Portfolio Services
Rating information
• Owns residence
• This vehicle is driven over 7,500 miles per year, 10 - 20 miles to
work/school, married driver age 53, good driver rate

Coverage detail for 2021 Toyota Corolla


Coverage Limits Deductible Premium
Automobile Liability Insurance
• Bodily Injury $100,000 each person Not applicable $126.41
$300,000 each occurrence
• Property Damage $50,000 each occurrence Not applicable $109.91
(1) Comprehensive - Excluding Collision Actual cash value $1,000 $91.00

NC010NBD
(2) Personal Effects $100 $0
Auto Collision Insurance Actual cash value $1,000 $497.00
Towing and Labor Costs Not purchased*
Transportation Expenses Increased Limits Not applicable $13.00
$30 per day to maximum $900
Audio, Visual, and Data Electronic Not purchased*
Equipment AUTR35NC2022010423374801A-000100-004-0-00-00

Automobile Medical Payments $2,000 each person Not applicable $19.50


Customizing Equipment Not purchased*
(continued)
220104B004574
065 010 032
Auto policy declarations
Policy number: 835 196 122
Page 5 of 6
Policy effective date: January 5, 2022

Coverage Limits Deductible Premium


Repair or Replacement Coverage Not purchased*
For Damage To Your Auto
Total premium for 2021 Toyota Corolla $856.82

* This coverage can provide you with valuable protection. To help you stay
current with your insurance needs, contact your Allstate agent to discuss
coverage options and other products and services that can help protect
you.

VIN 5YFEPMAE6MP198534 Lienholder


Ally Financial
Rating information
• Owns residence
• This vehicle is driven over 7,500 miles per year, 10 - 20 miles to
work/school, unmarried female age 19, good driver rate

Additional coverage
The following policy coverage is also provided.
Coverage Limits Deductible Premium
Uninsured / Underinsured Motorists $76.50
• Bodily Injury $100,000 each person Not applicable
$300,000 each accident
• Property Damage $50,000 each accident $100
(Uninsured Motorists Only)
Automobile Disability Income Protection Not purchased*
Total $76.50

* This coverage can provide you with valuable protection. To help you stay
current with your insurance needs, contact your Allstate agent to discuss
coverage options and other products and services that can help protect you.

Your policy documents


Your automobile policy consists of this Policy Declarations and the documents in the following list. Please keep these together.
• Allstate Property and Casualty North Carolina Auto Policy – • Extended Transportation Expenses Coverage – AU14663
AU12991
• North Carolina Amendatory Endorsement – AU14301-6
NC010NBD
Auto policy declarations Page 6 of 6
Policy number: 835 196 122
Policy effective date: January 5, 2022

Important payment and coverage information


Here is some additional, helpful information related to your coverage and paying your bill:
uYou are earning a discount of $124.90 for participating in Drivewise®.
uGet rewarded for your everyday safe driving by participating in Drivewise®. Simply download the Allstate® mobile app and
activate Drivewise. You’ll get a discount on your auto policy just for participating and earn a credit on your policy after your
first 50 trips and every six months thereafter for your safe driving.

Allstate Property and Casualty Insurance Company's Secretary and President have signed this policy with legal authority at
Northbrook, Illinois.

Julie Parsons Susan L. Lees


President Secretary

NC010NBD
AUTR35NC2022010423374801A-000100-005-0-00-00
220104B004574
065 010 032
Page 1 of 17

ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY

Auto
Policy
NORTH CAROLINA AU12991

Policy number Policy effective


835 196 122 January 5, 2022

Policyholders You may contact us at 1-800-ALLSTATE


Tammy White, Jeffrey S White or visit us at www.allstate.com
3 Rockport Court
Greensboro NC 27406-8773

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