TEMPORARY

Emergency Road Service information is located on your insurance card.

State of New Jersey Temporary

Evidence of Insurance

STATE FARM®

100****-**** 144769 200-**-**-****

STATE OF NEW JERSEY TEMPORARY

EVIDENCE OF INSURANCE

COMPANY CODE State Farm Indemnity Company

962

103 4654-C23-30F

POLICY NUMBER

APR-17-2021

EFFECTIVE DATE: NAIC # 43796

This Temporary Evidence of Insurance

expires 20 days after the effective date

shown above.

INSURED

VALENTIN,FRANCISCO J

475 W END AVE APT S12

N PLAINFIELD, NJ 07060-6698

AGENT

D NEAL INSURANCE AGENCY

PHONE # 908-***-****

Applicable with respect to the

following Motor Vehicle

2014 TOYOTA COROLLA "LE" 4D SED

YEAR MAKE

2T1BURHE7ET192838

VEHICLE IDENTIFICATION NUMBER

OFFICE ISSUING THIS CARD

PENNSYLVANIA OFFICE

One State Farm Dr.

Concordville, PA 19339-0001

Authorized Representative

THIS MUST BE CARRIED IN THE INSURED VEHICLE

FOR PRODUCTION UPON DEMAND WHEN:

(a) Vehicle is presented for inspection

(b) You are involved in an auto accident

(c) You are stopped for a moving violation

(d) You are stopped for a road spot check

WARNING: Any person who represents or uses this card to show that there is in force a policy of insurance as indicated herein, that is in fact not in effect, is liable to a heavy fine and/or imprisonment and his license and/or registration may be suspended or revoked.

IMPORTANT NOTICE: If you do not receive a replacement permanent card prior to the expiration of this card, contact your insurance company or agent. ADDRESS FOR NOTIFICATION OF COMMENCEMENT OF

MEDICAL TREATMENT:

State Farm Claims

Northeastern PIP

PO Box 106105

Atlanta, GA 30348-6105

IF YOU HAVE AN ACCIDENT- NOTIFY POLICE IMMEDIATELY 1. Get names, addresses, and phone numbers of persons involved and witnesses. Also get driver license numbers of persons involved and license plate numbers/states of vehicles.

2. Don't admit fault or discuss the accident with anyone but State Farm or police.

3. Promptly notify your agent, log on to statefarm.com®, or use the State Farm mobile app to file a claim.

For EMERGENCY ROAD SERVICE use the State Farm mobile app, log on to statefarm.com, or call 877-***-****.

Contact this candidate