HomeMy WebLinkAboutNotice of Loss 61423 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(8001392-6108. FAX(800)851-8424
6/24/2023
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: LEONARD LOO AND VALERIE LOO
Property Address: 66 HASTINGS AVE,WEST YARMOUTH, MA 02673
Policy Number: 1544981
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 06/14/2023
Claim Number: 473305
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
By:
CMA00021 �+ , — i
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[JUN2820231 /
BUILDING DEPART NT
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