HomeMy WebLinkAboutNotice of Loss 71422 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
7/23/2022
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B •
YARMOUTH BUILDING DEPT RECEIVED
1146 ROUTE 28
SOUTH YARMOUTH MA 02664 JUL 2 9 20227
By
BUILDING DEPARTMENT
Re: Insured: DOROTHY&WILLIAM LACOUTURE
Property Address: 64 FREEMAN ROAD,YARMOUTHPORT, MA 02675
Policy Number: 0817755
Type Loss: Theft
Date of Loss: 07/14/2022
Claim Number: 466491
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