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Vargas Office-Dorcester 1133 Washington Street
Dorchester, Mass  02124
Phone: 617.298.0655
Fax: 617.298.8355
cvargas@vargasinsurance.com

"Famous For Our Service!"

Toll Free: 866.431.7116

 Vargas Office-Stoughton 4 Cabot Place, Unit #9
Stoughton, MA 02072
Phone: 781.341.1700
Fax: 781 341 2772
cvargas@vargasinsurance.com

CSR Help Button Toll Free: 866.760.1442

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617-298-0655

866-431-7116

Hours: Monday through Friday 8:30AM to 5:30PM

After business hours appointments available.

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Request Binder or Certificate of Insurance


Please provide me a Binder/Certificate for the following:
Personal Information:
Full Name:
Mailing Address:
Email:
Phone:
Fax:
Please provide me Binder for the following:
Insured Name:
(List all names involved)
Property Location:
(If different from mailing address)
If Requesting a Condominium Certificate:
Name of Condo Trust
New or Existing Unit Owner Name
Unit Number:
Unit Owner
Home Phone:
Unit Owner
Business Phone:
Unit Owner
Mobile Phone:
Binder Information:
Loan Amount:
Loan Type: Purchase ReFinance Home Equity
Closing Date:
Mortgage Clause:
Loan Number:
Position: 1st      2nd      3rd      4th
Escrow: Yes No
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