HomeMy WebLinkAboutNotice of Loss 31123 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(8001392-6108. FAX(8001851.8424
3/18/2023
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
YARMOUTH BUILDING DEPT
1146 ROUTE 28 RECEIVED
SOUTH YARMOUTH MA 02664
MAR 2 3 2023
BUILDING DEPARTMENT
By; - {
Re: Insured: JOSEPH AUDETTE AND ALLISON BAILEY
Property Address: 438 MAIN STREET,YARMOUTHPORT, MA 02675
Policy Number: 1115101
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 03/11/2023
Claim Number: 471609
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