HomeMy WebLinkAboutClaim of Loss MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424
8/15/2018
Form of Notice of Casualty Loss to Building
Under Mass.Gen.Laws,Ch.139,Sec.3B
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YARMOUTH BUILDING DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
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Re: Insured: WILLIAM AND KATHLEEN FARGO
Property Address: 4 MARSH POINT,YARMOUTHPORT,MA 02675
Policy Number: 0986108
Type Loss: Windstorm Other than Hurricane or Tornad
Date of Loss: 03/13/2018
Claim Number: 431388
Claim has been made involving loss,damage or destruction of the above captioned property,which may either
exceed$1000.00 or cause Massachusetts General Laws,Chanter 143,section 6 to be applicable. If any
notice under Massachusetts General Laws.Chanter 139,Section 3B is appropriate,please direct it to the
attention of the writer and include a reference to the captioned insured,location,policy number,date of loss
and claim or file number.
MPIUA Claims Division
CMA00021