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EFTA01725150 | EFTA01725154 EPSTEIN 84 CO Statement For: Mobile Number : Account Number: Customer Oct 20 Service Number 1 - 800-937-8997 Page 2004 2 of 4 Taxes, Surcharges and Assessments • This section includes eoplicable federal, state and local taxes• surcharges and assess nents that have been imposed on you or T• Mobile related to your service. We ooleU these taxes Surcharges and assessments as permitted or required by law and remit them to the appropriate Gmternmergal only. This section also *ticludes the Regulatory Programs Fee that T- Mobile elects to collect and retain. Federal Universal Service F and • The Federal Universal Service Fund (FUSF) is note lax or government assessment exceed direcly on to customer. Carriers are permitted. but not required to large their customers for FUSF. We charge the FUSF based one percentage of your widow service charges. A Contobution factor provided by the Federal Communications Commission (FCC) (which the FCC may change) is one factor used to calculate the percentage Regulatory Programs Fee • 'me Regulatory Programs Fee is an addlional charge that T- Mobile elects to soloct. We collect and retain the fee to recover cur costs related to government tnardales and programs inthidng, wthout limit, wireless number pooling, local number portability and E911. We may impose the Fee whether or not al or some services are used, or avaaable to you, or in yaw bcaton. Late Fee • Pursuant to the T-Motile Terms and Condition we may apply a late lee Wage per month equal to $5 or 1.5%, or the greatest amount permitted by law on any past due balance not paid by the date shown on page one of your valemew. Late fee carargee are liquidated damages and an, not a penalty. Primary Place of Use • We are required to use the residential a business street address you provided, wlich must be willath our licensed service area, 13 determine certain taxes and surcharges if you give us an address (Seen as a PO box) that is not a recognized street address, you will be assigned a default location for lax calculatun, which may result in a higher a lower charge for certain taxes end surcharges. Easy Pay Option • Autenatic Monthly Payment Term and Condlions • With Easy Pay you authorize T- Motile to collect payment for your monthly statement by automatic:any withdrawing the amount due from VOW Cheeking or savings account a charging a deagnated ctediV debit card. You can enrol in Easy Pay by: 1) Visiting cut vrebsite al VANV T Moble.corn; or 2) Completing and mailing the Easy Pay applcation form below; or 3) Carling customer care al 800.037,3937 or dialing 611 from your T. Motile phone. You agree to review each statement to check for any errors aril to give T- Mebile Seethe make of any emit After nose., T- Mobile kid: attempt to correct wows prior to your next statement. T• Mobile shall bear no responsibility tar any losses of any lend that you may incur es a result of an error ei your Statement Funds will be transferred from your checkimg or savings account a charges Lel be made la your debit/credit card 3 days before the due date of your bill (settlement date). Under %Cecil taw, you have the right to slop an electronic kind vanster provided you give your financial institution a credit card issue: notice of al least 3 business days before the scheduled transfer dale. T- Mobre is not liable tar any tosses due lo a delay in the date your funds are franSlecced or account is charged. II any changes occur in the information on your Easy Pay application you mull immergalAY notify T- Mobil* in writing of such changes. T. Mobile shall bear no kebrity for any losses incurred due lo your Calks* to give such make. T. Metals s sole liability to you shall be to make any appropriate changes WOO in receipt of your written nollicalica T- Mobile reserves the right 10 change these Mans and Oandillons al any lime. Notice may be given on or with year WI or by other methods. Either you cc T• Mobile may terminate Easy Pay at any time by giving %Mien notice to the Other reasonably in advance of the date of termination and of any scheduled settlement dale. Terminaion shall not reverse a debit tranaolon authorized before any notice of termination. You agree to be bound by any rules your fnancial institution or credit card issuer requires for pre authorized electronic funds transfer ix creel card charges. Check with VOW financial institution to See if there are any lees associated with the pre- authorized payment ocean. Disputed Charges - If you beleve you, till contawis any incorrect charges (including taxes, tees and lurch:eget) ycu must notify us of such disputed charges Mho 60 days of the first bill on which the Marge Seel appears or you waive you' right to dispute the chaos Questions about your NU? Please call us al (800) 937- 8997 or dial 811 from your T- Mobile phone. You may also whir. to T. Whirs Customer Retools, PO Boa 17380, Albuquerque. NM 87176-73EO or send an email ix our website at heed mew. t. mobile. cone COread You may also contact the Federal Communications Commission al (868) 225-5322. (CA customers may also contact the Carifornia Pubic thetas Corrmicsion al (800) 819. 7570; NM customers may also contact the New Mexico Pubes Regulation Commission al (60O) 663- 9782.1. Visit us at kinvw.tmoblItcom Change of Address: Effective Date [] EasyPay credit card: City Horne p ( Business 0( State [ ] One Time Option I I visa ( I Mastercard Crcdt Card No: Credit ( )nmercan Express Card Charge ()Discover Exeiraten_J___ Name as it appears On your Cf0d4 card_ )_ ) L•ifffty hymn...4 inyfey epos Pa INN V, ,.e ono 'Kosloff el tileaffl iffy ft nom. arr..in: cte•Mae In, THY S. I .4th. labbf• USA. K ICI fan the 10.3100 all OW WV/•r unman; su an taindfolenet at San la swainin~int alive, w real teat Vixen WS thee 01MW ..-enunnot I awrow mecrtiono pernatfi . Oenbrnofra 7.0anana , n , 00110.0 Wore/An 1.00*. ten comffec wryaan a% bast AI es infas•Oloreffnwl.ftfal Leila Arrozowni wry,* wf.• tam MO ofion Please sign and data here for nedli card payments and EasyPay option: Signature_ EFTA01725154
March 8, 2026 at 4:54 AM