HomeMy WebLinkAboutNotice of Loss 061723 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, 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: JOHN HILL AND ANN HILL
Property Address: 23 WILLOW STREET,YARMOUTHPORT, MA 02675
Policy Number: 1441364
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 06/17/2023
Claim Number: 473223
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 Cha ter 143 section 6 to be applicable. If any
notice under Massachusetts General Laws Cha ter 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
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