HomeMy WebLinkAboutNotice of Loss 8823 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(6171 723-3800 Ma Only 1800)392-6108, FAX(800)851-8424
8/12/2023
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: KATHLEEN M MULLIN TRUSTEE OF THE
Property Address: 15 LONGVIEW ROAD,YARMOUTHPORT, MA 02675
Policy Number: 1252079
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 08/08/2023
Claim Number: 474427
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 R EC E IV b
AU6 16 2023
BUILDING DEPARTMENT
By: