HomeMy WebLinkAboutNotice of Loss 52423 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424
5/20/2023
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139,Sec.3B
YARMOUTH BUILDING DEPT RECEIVE D
1146 ROUTE 28
SOUTH YARMOUTH MA 02664 MAY 24 2023
BUILDING DEPARTMENT
By
Re: Insured: KAREN ONEIL
Property Address: 12 WHISTLER LANE,YARMOUTHPORT, MA 02675
Policy Number: 1046268
Type Loss: Vandalism,Malicious Mischief
Date of Loss: 06/20/2022
Claim Number: 472742
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