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HomeMy WebLinkAboutInsurance Claim MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108-1904 (617)723-3800 Ma Only(800)392.6108,FAX(800)851-8424 1/15/2020 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: ROSEANNE LIPE TRUSTEE LIPE REALTY TRUST Property Address: 2 AFT ROAD LOT 1,SOUTH YARMOUTH.MA 02664 Policy Number: 1013453 Type Loss: Water Damage:All Other Water Damage Date of Loss: 12/25/2019 • Claim Number: 445331 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 CMA00021