HomeMy WebLinkAboutNotice of Loss 101223 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108. FAX(800)851-8424
10/14/2023
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B l -----
YARMOUTH BUILDING DEPT OCT 19 Zfl?3
1146 ROUTE 28 / BUILDING DEPARTMENT
SOUTH YARMOUTH MA 02664Re: Insured: MAUREEN TAINTER
Property Address: 18 SYLVAN WAY, S YARMOUTH, MA 02664
Policy Number: 1547007
Type Loss: Mold caused by:Water Damage
Date of Loss: 10/12/2023
Claim Number: 475634
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