HomeMy WebLinkAboutInsurnace Claim MASSACHUSETTS PROPERTY INSURANCE U RUITING ASSOCIATION
Two Center Plaza:
Boston, Massachusetts 02103-i904
(617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424
9/7/2019
Form of Notice of Casualty Loss to Building
Under Mass.Gen.Laws,Ch.139,Sec.3B
YARMOUTH BUILDING DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: IGNAS J.VILENISKIS
Property Address: 60 HERITAGE DR,WEST YARMOUTH.MA 02673
Policy Number: 0429308
Type Loss: Vandalism,Malicious Mischief
Date of Loss: 08/30/2019
Claim Number: 442257
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,Chapter 143,section 6 to be applicable. If any
notice under Massachusetts General Laws,Chapter 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
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CMA00021