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Bill issue date Account Page

May 19, 2024 998433610 1 of 6

TOTAL DUE

$
240 .83
Your bill is due by Jun 12, 2024.
Hi Hugo,
Welcome to T-Mobile! Here's your first bill.
You're signed up for AutoPay, and you have unlimited 5G & 4G LTE smartphone
AutoPay is scheduled for Jun 10, 2024 using
MasterCard ****1244.
data, talk, and text. You're ready to go.

3 VOICE LINES = $150.40


PLANS
$
150.40 • 2 lines changed their usage address. This impacts the
taxes calculated in your bill.
Your Go5G Plus plan includes:
• Upgrade-ready every two years
• Account received a total AutoPay discount of $15.00. • Best-in-wireless scam protection
• (561) 698-5713 received Line Discount ID240173 of • Unlimited in-flight Wi-Fi with streaming
$34.60. and texting where available

Details @ t-mo.co/Plans

2 HANDSETS = $37.30 | 6 ACCESSORIES = $15.01


EQUIPMENT
$
52.31 • 2 lines added a new device. See details below.
• 2 lines received promotions of $58.97.
The T-Mobile® app lets you easily:
• Pay your bill anytime/anywhere
• Upgrade your phone
• Get 24/7 support

Download the app @ t-mo.co/App

2 PROTECTION PLANS = $38.52 | 2 T-MOBILE SUBSCRIPTIONS = $0.00


SERVICES
$
38.52 • Account added Netflix Standard with ads - T-Mobile
Offer.
Data and texting abroad:
• Stay connected and up to date in 215+
• Call, text, and browse in Mexico & Canada. No setup. countries & destinations around the world
No roaming charges. Your phone works the moment with non-stop data and texts
you arrive.
Details @ t-mo.co/IntRoam

1 OTHER ONE-TIME CHARGE = -$0.40


ONE-TIME CHARGES

0
-$ .40 • (561) 698-5713 had Rate Plan Credit of -$0.40.
Bill issue date Account Page
May 19, 2024 998433610 2 of 6

THIS BILL SUMMARY


Line Type Plans Equipment Services One-time charges Total
Totals $150.40 $52.31 $38.52 -$0.40 $240.83
Account $150.00 - $0.00 - $150.00
(561) 628-1277 Voice Included $21.04 $19.26 - $40.30
(561) 698-8810 Voice Included $31.27 $19.26 - $50.53
(561) 698-5713 Voice $0.40 - - -$0.40 $0.00

DETAILED CHARGES YOU SAVED

PLANS $150.40 TOTAL $120.55


AutoPay discounts $15.00
REGULAR CHARGES May 20 - Jun 19 $150.40 $5 discount per line for applicable lines on your
account

Charged in advance for bill period May 20 - Jun 19. Changes made after May 19 will be
Service discounts $34.60
shown on a future bill.
Includes any discounts for your plan, add-ons
and one-time credits

VOICE LINES Subscription discounts $11.98


Account Go5G Plus $150.00 Discounts on subscription services through
Includes $10.00 AutoPay Discount T‑Mobile

(561) 628-1277 Go5G Plus Included


Device discounts $58.97
(561) 698-8810 Go5G Plus Included Promotions applied to your monthly device
(561) 698-5713 Go5G Plus AAL 2L $0.40 installments
Includes $5.00 AutoPay Discount and $34.60 Line Discount ID240173

EQUIPMENT $52.31
YOU USED
Here's where you'll get the details about the equipment you're paying for.
3.61GB
of unlimited data
HANDSETS with Go5G
(561) 628-1277 iPhone 15 Pro Max $16.47
$42.10 installment with -$25.63 P716 Apple Activate ID240197
ID: 202405191104713925, Balance: $1,010.26, Installment 1 of 24 (561) 628-1277 3.58GB
(561) 698-8810 Galaxy S24 Ultra $20.83
$54.17 installment with -$33.34 P712 Smartphone Activate ID240196
ID: 202405191104712101, Balance: $1,299.99, Installment 1 of 24
(561) 698-8810 0.03GB

ACCESSORIES
(561) 628-1277 GoTo™ Tempered Glass Screen Protector for Apple iPhone 15 $2.81 (561) 698-5713 0.00GB
Pro Max
ID: 202405191104713926, Balance: $33.68, Installment 1 of 12
Case-Mate Lens Ring Protector for Apple iPhone 15 Pro/15 Pro $1.76
Max 0 minutes of talk &
ID: 202405191104713926, Balance: $21.03, Installment 1 of 12 2 messages.
(561) 698-8810 Tech21 Evo Clear Case for Samsung Galaxy S24 Ultra $3.34
ID: 202405191104712102, Balance: $39.99, Installment 1 of 12 But no worries, it's all
Case-Mate Aluminum Lens Protector for Samsung Galaxy S24 $2.09
Ultra
unlimited with Go5G!
ID: 202405191104712102, Balance: $24.99, Installment 1 of 12 Please see important unlimited plan details
GoTo™ Tempered Glass Protector for Samsung Galaxy S24 $3.34 below
Ultra
ID: 202405191104712102, Balance: $39.99, Installment 1 of 12
Samsung 25W Power Adapter $1.67
ID: 202405191104712102, Balance: $19.99, Installment 1 of 12
Bill issue date Account Page
May 19, 2024 998433610 3 of 6

SERVICES $38.52

This is where you'll find charges for extras you've added to your plan and all the great stuff that's included in
your plan!

PROTECTION PLANS
(561) 628-1277 Protection 360 Tier 5 TE $18.00
(561) 698-8810 Protection 360 Tier 5 TE $18.00

T-MOBILE SUBSCRIPTIONS
Your subscriptions automatically renew until you cancel. Cancel anytime. To manage, visit t-mo.co/managesubs
Account Apple TV+ On Us $0.00
Includes $4.99 Apple TV Discount
Netflix Standard with ads - T-Mobile Offer $0.00
Includes $6.99 Netflix Discount

TAXES & FEES


Government taxes & fees $2.52

ONE-TIME CHARGES May 19 - May 19 -$0.40

If you bought something extra, or took a trip and made some roaming calls, they
appear here.

OTHER ONE-TIME CHARGE


(561) 698-5713 Rate Plan Credit -$0.40

TAXES & FEES BREAKDOWN


Below are your T-Mobile fees & charges and your government
taxes & fees

The taxes & fees below were summarized as line


items above or included in your monthly charges.
Here is the breakdown of the individual charges.

INCLUDED TAXES & FEES

1991 W 16TH CT APT B, Riviera Beach FL 33404-5059


Go5G Plus - before taxes & fees $148.76

Included Government taxes & fees


State Excise Tax $0.01
Gross Receipts $0.07
State Communication Service Tax $0.16
Local Communication Service Tax $0.20
County 911 $1.20

ADDITIONAL GOVERNMENT TAXES & FEES

SERVICES $2.52
1991 W 16TH CT APT B, Riviera Beach FL 33404-5059
(561) 628-1277 State & Local Sales Tax $1.26
(561) 698-8810 State & Local Sales Tax $1.26
APPENDIX_END
Bill issue date Account Page
May 19, 2024 998433610 5 of 6

WHAT YOU NEED TO KNOW


Go5G recurring charges include applicable Government taxes & fees & T-Mobile fees & CONTACT US
charges as determined by your primary place of use. Contact us with any questions or disputes about your service or bill:

GOVERNMENT TAXES & FEES PHONE


Government taxes & fees includes sales, use, excise, public utility & E911 taxes & Call (800) 937-8997 or 611 from your T-Mobile device. TTY Dial 711 to reach a Relay
governmental charges & fees that we are required by law to bill & remit. These may Agent.
change without notice.
MAIL
T-MOBILE FEES & CHARGES Write to T-Mobile Customer Relations, P.O. Box 37380, Albuquerque, NM 87176-7380.
These fees & charges are T-Mobile recovery charges, not governmentally imposed taxes.
What is included in the fees & charges may vary by locale & rate plan & is subject to
change. These include: ONLINE
1. Regulatory Programs & Telco Recovery Fee, collected & retained by us: View your bill & usage details online by logging into your account at t-mobile.com.

a. Regulatory Programs Fee ($0.50 for voice lines, $0.12 data only lines) - defrays
certain costs for funding & complying with government mandates, programs, & View Terms & Conditions online at t-mobile.com/terms-conditions and our Open
obligations, like E911 and local number portability Internet Policy at t-mobile.com/openinternet.
b. Telco Recovery Fee ($2.99 for voice lines, $1.28 data only lines) - defrays costs
and charges imposed on us by other carriers for delivery of calls from our Partial megabytes (MB) rounded up. 1024 MB = 1 GB
customers to theirs and for certain network facilities (e.g. leases), operations,
and services we obtain to provide you service
2. State & federal Universal Service Fund charges (recovers charges imposed on us by
the government to support universal service).
3. Other governmental assessments including, without limitation, gross receipt &
excise taxes.

LATE FEES
Late Fees, which are assessed up to the highest amount permitted by law, may apply on
unpaid balances. This fee is a liquidated damage & not a penalty.

PAYMENT BY CHECK
When you pay by check, you authorize us to either use information from your check
to make a one-time electronic fund transfer (EFT) from your account or to process the
payment as a check transaction. If we process your payment by EFT, the funds may
be withdrawn the same day we receive your check, & your canceled check will not be
returned. If payment is returned unpaid, you authorize us to collect additional fees as
outlined in the Terms & Conditions of Service at t-mobile.com/terms-conditions. Call
(800) 937-8997 with any questions.

EQUIPMENT PROTECT
Equipment Protect by Assurant (in Puerto Rico: CAPIC) is for the equipment repair &
replacement you may have selected. See Equipment Protection Terms & Conditions at t-
mobile.com for details.

CHANGE OF ADDRESS Effective date

Address

City State ZIP

Home phone Business phone


RIVIERA BEACH FL 33404-5059
1991 W 16TH CT APT B
RIVIERA BEACH
HUGO SIVIRA RANCANO

Please detach this portion and return with your payment. Please make sure address shows through window.
Pay by phone: *PAY(*729) Pay online: t-mobile.com/pay

Total due by Jun 12, 2024 Amount enclosed

T-MOBILE
$240.83
PO BOX 742596
CINCINNATI OH 45274-2596 You are paying by AutoPay HUGO SIVIRA RANCANO
Account number: 998433610

Change your address - Check box and provide new address on reverse side

0409984336100612240000240835334045059

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