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Home My WebLink About2023 Property Loss Notice MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston, Massachusetts 02108-1904 (617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424 7/1/2023 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch.139, Sec.3B YARMOUTH HEALTH DEPT 1146 ROUTE 28 SOUTH YARMOUTH MA 02664 Re: Insured: BRIAN LONG AND JOANNE LONG Property Address: 21 CAPTAIN STANLEY RD. S YARMOUTH, MA 02664 Policy Number: 1547940 Type Loss: Fire(including Fire caused by Lightning Date of Loss: 06/27/2023 Claim Number: 473377 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 JUL © . 2023 HEALTH DEPT.