Understanding your State Farm® AutoPay terms

We updated our AutoPay terms and conditions. These updates will take effect in June 2024.
If you’re a paperless customer, these updates will not affect you. If you’re not paperless and would like to be – enroll here.
Need to add or update your email address? It’s easy! Get started at statefarm.com/register.

You can see the updated State Farm Payment Plan terms and conditions on pages 2 and 3 of this document. If your billing account
recently moved to our new billing system, the updated State Farm Billing terms and conditions are on pages 4 and 5.

Here’s what the updates mean for you:

You’ll be notified by paper mail if: You’ll be notified by email* if:

All States – Your bill increases by $20.00 or more. – Your bill increases by any amount up to $19.99.
(except NY, TN, FL and TX) – Your payment due date changes. – Your bill decreases by any amount.

Florida (FL) and Texas (TX) – Your bill increases by $10.00 or more. – Your bill increases by any amount up to $9.99.
– Your payment due date changes. – Your bill decreases by any amount.

New York (NY) and Tennessee (TN) – Your bill increases by any amount. – Your bill decreases by any amount.
– Your payment due date changes.

*Only if we have your correct email address on file.

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State Farm Payment Plan - Page 1 of 2

PO Box 52265
Phoenix, AZ 85072-2265

Recurring Monthly Payment Option

Customer account number:
I hereby authorize State Farm Mutual Automobile Insurance Company, its affiliates and subsidiaries (State Farm®), and the financial
institution designated below, service providers, successors, and/or assignees, and any other successors or assigns of State Farm and
the financial institution designated below (or any other financial institution I may authorize at any time) to deduct/charge regular
recurring payments required for the payment of insurance or loan repayments from either my financial account or credit/debit card.
(Please note: The date of the actual deduction/charge may vary based on the processing times of the authorized financial institution.)
This authority remains in effect until State Farm has received notification from me of its termination at least ten (10) business days
before the next scheduled payment by verbal or written notification to my State Farm agent or assigned State Farm representative.

Financial institution name:

Routing transit number: Last four (4) characters of account number:
Account type: Last four (4) characters of card number:
Expiration:

It is my responsibility to provide and ensure the financial information above is up to date and accurate, and to notify State Farm of any
changes prior to the next scheduled due date. Updates to financial information can be made through my agent, by logging into
statefarm.com® or the State Farm mobile app.
If any transaction is not honored by my financial institution, the policy(ies) or loan(s) will be considered not paid. State Farm will ask me
to provide a replacement payment for the dishonored payment and will suspend the recurring payment option until after a timely
replacement payment has been received. State Farm has the right to charge me for any payment not honored by my financial
institution or any payment that is received after the due date.
I understand State Farm will notify me in advance when my billed amount is:
• $20.00 or more than the most recent debited or charged amount (all states except Florida, New York, Tennessee, and Texas).
• $10.00 or more than the most recent debited or charged amount (Florida and Texas).
• Any amount more than the most recent debited or charged amount (New York and Tennessee).
I understand State Farm will not notify me in advance if any scheduled debit or charge amount is less than the most recent debited or
charged amount.
I also understand State Farm will notify me in advance if/when my requested due date changes.
Otherwise, I understand and agree State Farm will not separately notify me of a different scheduled debit or charge amount which
differs from the most recent transfer if the difference falls within the applicable range set forth above.
I understand I can view my next scheduled amount due on the State Farm mobile app, by logging into my statefarm.com account, or by
contacting my agent, when I have a bill produced that will always be at least ten (10) days in advance of the due date.
I understand and agree that State Farm may revise these terms at any time upon notification.
ELECTRONIC

SIGNATURE
Applicant name: Date (mm/dd/yyyy):

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State Farm Payment Plan - Page 2 of 2

State Farm agent

(Agent Name) (Phone:)
(Address Line One) (Email:)
(Address LineTwo)
(City, State Zip)

State Farm affiliate insurers

The type of payment plan and the state where the applicant lives determine which of the State Farm affiliates will initiate the authorized recurring deduction/charge. A customer may have
an agreement with more than one State Farm affiliate for different premium payment plans and different payment options. The State Farm affiliates include:
• State Farm Mutual Automobile Insurance Company • State Farm Florida Insurance Company • State Farm Guaranty Insurance Company
• State Farm Fire and Casualty Company • State Farm Life Insurance Company • State Farm County Mutual Insurance Company of Texas
• State Farm General Insurance Company • State Farm Life and Accident Assurance Company • State Farm Classic Insurance Company
• State Farm Lloyds • State Farm Indemnity Company

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State Farm Billing - Page 1 of 2

State Farm Companies

State Farm Billing
P.O. Box 52251
Phoenix, AZ 85072-2251

Automated Payments Authorization

State Farm Billing account number

Authorization
I hereby authorize State Farm Mutual Automobile Insurance Company, its affiliates and subsidiaries (State Farm®), service providers,
successors, and/or assigns, and any other successors or assigns of State Farm and the financial institution designated below (or any
other financial institution I may authorize at any time) to deduct/charge automated recurring payments and non-recurring periodic
payments required for the payment of insurance from either my financial account or credit/debit card listed below.

The due date, frequency, and amount for each insurance product issued will be set forth in a billing notice sent in advance of the due
date for your recurring and, if needed, any non-recurring periodic payment. I understand that State Farm will notify me in advance when
my billed amount is:
• $20.00 or more than the most recent debited or charged amount (all states except Florida, New York, Tennessee, and Texas).
• $10.00 or more than the most recent debited or charged amount (Florida and Texas).
• Any amount more than the most recent debited or charged amount (New York and Tennessee).

I understand that State Farm will not notify me in advance if any scheduled debit or charge amount is less than the most recent debited
or charged amount. I also understand that State Farm will notify me in advance if/when my requested due date changes. Otherwise, I
understand and agree that State Farm will not separately notify me of a different scheduled debit or charge amount that differs from the
most recent transfer if the difference falls within the applicable range set forth above. I understand that I can view my next scheduled
amount due on the State Farm mobile app, by logging into my statefarm.com® account, or by contacting my agent.

Recurring payment frequency options

Monthly Deduction/Charge Every Month
Pay Half on 6-month policy or Pay Quarterly on 12-month policy Deduction/Charge Every 3 Months
Pay Half on 12-month policy or Pay in Full on 6-month policy Deduction/Charge Every 6 Months
Pay in Full on a 12-month policy Deduction/Charge Every 12 Months

Recurring payment
The amount of the recurring deduction/charge for each policy is the amount owed for the policy term divided by the frequency of the
payments. The date of the actual recurring deduction/charge may vary based on the processing times of the authorized financial
institution and other situations as discussed in the Billing and Payment Agreement.
Additional non-recurring periodic payment
In the event of a change made during a policy term that requires additional premium to be paid prior to the next scheduled recurring
payment for that policy, State Farm may deduct/charge the financial institution designated below (or any other financial institution I may
authorize at any time) for the payment of insurance upon sending a separate billing notice, sent at least 10 days in advance of any
such non-recurring deduction/charge and include the payment amount owed and date of the deduction/charge for the non-recurring
periodic payment. The actual date of the deduction/charge may vary based on the processing times of the authorized financial
institution and other situations as discussed in the Billing and Payment Agreement. A non-recurring periodic payment does not replace
or remove the next scheduled recurring payment.

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State Farm Billing - Page 2 of 2

Payment method

Account type Routing transit number Last four of bank account number

Last four of credit/debit card Expiration

Financial institution name

Card type

It is my responsibility to provide and ensure the financial information above is up to date and accurate, that I own or am
authorized to use for this purpose and to notify State Farm of any changes at least 10 business days before payment to the
address listed at the top of this form or through an email sent to my agent.

If any transaction is not honored by my financial institution, the policy(ies) or loan(s) will be considered unpaid and fees may
be incurred. State Farm will ask me to provide a replacement payment for the payment not honored, and will discontinue
automated payments. If a replacement payment is made, automated payments will continue if a valid account at a financial
institution is available. Otherwise, automated payments will not resume unless requested by me and approved by State Farm
at a later date.
I understand State Farm has the right to discontinue the automated payment option for any reason.
I acknowledge that I have received, understand and agree to the terms of the Billing and Payment Agreement and that I own
or am authorized to use this financial account or credit/debit card for this purpose.
I understand and agree that State Farm may revise these terms at any time upon notification.
This authority remains in effect until State Farm has received notification from me of its termination at least ten (10)
business days before the next scheduled payment by verbal or written notification to my State Farm agent or assigned
State Farm representative.

Payor name

SIGNATURE
Payor signature Date (MM/DD/YYYY)

SIGNATURE
Payor electronic signature

State Farm Affiliate Insurers

The Billing and Payment Agreement and the State Farm affiliate initiating your authorized automated payment may vary based on applicable laws and the affiliate
with which you are transacting business. A customer may transact with more than one State Farm affiliate under different agreements and payment options.

The State Farm affiliates include the listing entities and any other subsidiary or affiliate hereafter formed or acquired by State Farm Mutual Automobile
Insurance Company. Please also note that a currently listed entity may also stop offering this Agreement.
Please refer to your policy or contact your State Farm agent for more information.
• State Farm Mutual Automobile Insurance Company • State Farm Fire and Casualty Company
• State Farm Classic Insurance Company • State Farm General Insurance Company
• State Farm Indemnity Company • State Farm Florida Insurance Company
• State Farm Guaranty Insurance Company • State Farm Lloyds
• State Farm Life Insurance Company • State Farm County Mutual Insurance Company of Texas
• State Farm Life and Accident Assurance Company

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