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Kentucky insurance
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Questions?
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Hear From You.

Thoroughbred
Associates
 

E-mail: awinkie@thoroughbred
associates.com

 

Phone: 1-502-245-7841
Fax: 1-502-245-3811
Toll Free: 1-800-219-8211

 
Please Change Bank or
Mortgagee on My
Insurance Per Below:
One Simple Form - takes only 2-3 Minutes!


Your Personal Data

Your Name (First, Last)
 
E-Mail (REQUIRED):
 
E-Mail (again to verify accuracy):
 
Phone (REQUIRED):
 
Your Policy Number: (REQUIRED)
 
Driver Details
 
 
Effective Date of Change:
 
Are you changing mortgagee or loss payee on vehicle or dwelling insurance? Automobile
Dwelling
 
Are You Adding, Deleting, or Replacing this mortgagee/loss payee? Adding
Replacing
Deleting
 
Bank or Interest's Name
You Are Adding:
 
New Bank or Interest's Street Address:
 
New Bank or Interest's City, State, Zip Code:
 
New Bank or Interest's Loan or Account #:
 
Indicate mortgagee/loss payee's phone and/or fax#'s if you want us to call or fax them copies of insurance:
Above # is: Fax Phone
 
(Name of previous loss payee/mortgagee to remove/replace, if any):
 
What interest does this entity have in your property?
(i.e., first mortgagee, vehicle loan,
second loan, etc.)
 
Any comments or special instructions?
 
If we need further information, how should we contact you? Fax E-Mail
Regular Mail
Please Call Me!


Thank you for filling out this form COMPLETELY!

We deem your data submitted as PRIVATE information. Every step has been taken to insure your privacy, security, and to release this information only to you. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release them from any liability should this information be accidentally viewed by others. Also, the insurance carriers reserve the right to issue coverage or not, and we cannot guarantee acceptance of a risk until approved by the company.

Yes, Please Make the Bank/Loss Payee Changes above. I understand that none of the changes requested are in force until written confirmation is received from Thoroughbred Associates.

Click Button Below When Done

Please Click Only Once . . . May take up to 30 seconds!


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Please report site-related technical problems to: awinkie@thoroughbredassociates.com (This page last updated 01-30-03)