.

Customer Name: JAMES EVANS Policy Number: 817120435

Document Center Summary

Trailing Documents/Forms for Customer

Administrative Trailing Documents Form No.

EN Service Request (optional) SAR1871

Forms Form No.

Document Center Summary
Temporary ID Card
.
Premium Summary
.
Premiums displayed are Full-Term
.
. 2018 JEEP 2016 CHEVY TRUCKS 2016 BMW
GRND CHEROKE CHEVY TRUCKS 535I
.
Adjusted Vehicle Premium $1395.94 $1117.62 $1229.76
.
Current Vehicle Premium $1395.94 $1117.62 $242.35
.
.
.
.
.
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Adjusted Total Premium $3743.32
.
Current Total Premium $2755.91
.
Difference from Current Premium $987.41
.
Rates as of Date 11/09/2022
.
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____________________________________________________________________________________________
Monthly Payment Estimate
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Policy Period 04/08/2023-10/08/2023
.
Policy Status Active
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Pay Method Direct Mail
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Pay Plan Monthly Pay
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Policy Balance Before Endorsement $2323.10
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Amount added to Policy Balance (pro-rated if mid-term) $831.41
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Estimated Policy Balance after Endorsement $3154.51
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Amount Currently Due $459.32
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Due On 05/01/2023
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Number of Payment Opportunity 4
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____________________________________________________________________________________________
Estimated Payment Schedule
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Payment Date Payment Amount
06/08 $ 697.68
07/08 $ 671.17
08/08 $ 671.17
09/08 $ 671.17
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ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY Calendar Date: 05/06/2023

Home Office Policy Number: 817120435 04/08

Northbrook, Illinois
Insured : JAMES EVANS
Address : 25121 22ND AVE S
City : KENT St.: WA Zip Code: 98032

REINSTATE ITEM # 3
2016 535I
VIN: WBA5B3C56GG259924 Requested Item Add Date: 08-26-2021
Split Rate: N Zip: 98032 Cnty: 017 Area Cd: 300
Territory Cd: 8032 PGS: D VSC: V51 Doors: 4 Style:
Dt Purchased: 08-25-2021 Type Cd: 10 Insured Registered Owner: Y
Leased Vehicle: N Original Owner: N Area/Rate: 3008032

ADD DISCOUNT # 3
535I
2016
WBA5B3C56GG259924
Name: Anti-Lock Brake
Name: Multiple Policy
Name: Electronic Stability Control

THIS REQUEST IS SUBJECT TO POLICY TERMS AND IS EFFECTIVE ONLY IF THE POLICY NOTED
ABOVE IS CURRENTLY IN FORCE

_________________________________ Effective 02 : 05 P.M. 05/06/2023

Policyholder's Signature
CUSTOMER
_________________________________ 034000 998 1-800-787-0600
Agent/Agency Name Agent # Location Agent's Phone #

AR1871

Page 1 of 1
+ 817120435ZZZZZZ034000AR1871WA1 +
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ALLSTATE FIRE & Temporary
CASUALTY INSURANCE Washington Motor Vehicle
Proof of Auto Insurance Card
COMPANY ALLSTATE FIRE & CASUALTY INSURANCE COMPANY
Automobile NAIC# 29688
Insurance JAMES EVANS
25121 22ND AVE S This card expires 60 days after
KENT, WA, 98032 the effective date below.
Policy Number Year/Make/Model
817120435 2016 BMW 535I
Temporary Proof of Insurance Card(s)
Effective Date Vehicle ID Number
Here are your Temporary Proof of 05/06/2023 WBA5B3C56GG259924
insurance Card(s). Please keep in mind
that your card(s) will not be valid more This card must be carried in the vehicle
than 60 days after the "Effective Date" at all times as evidence of insurance.
listed on the card(s). We will send you
permanent ID card(s) before that time.

Please keep the temporary card(s) in

your vehicle until your permanent
card(s) arrive. When your permanent
cards arrive, please replace these
temporary card(s) with the permanent ID
card(s) and then destroy the temporary
card(s).
..
If you have an accident or loss:
Get medical attention if needed.

. Notify the police immediately.

Obtain names, addresses, phone numbers (work and home) and
license plate numbers of all persons involved including

. passengers and witnesses.

Call 1-800-ALLSTATE (1-800-255-7828), logon to
allstate.com or contact your Allstate agent as soon as
possible.
Allstate Agent:
CUSTOMER
CENTER
CHARLOTTE, CC 00000
1-800-ALLSTATE