HomeMy WebLinkAboutNotice of Loss 121522 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617)723-3800 Ma Only(800)392-6108. FAX(800)851-8424
12/24/2022
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139,Sec.3B
YARMOUTH BUILDING DEPT R E C E I V E D
1146 ROUTE 28
SOUTH YARMOUTH MA 02664 DEC 3 0 2022
BUILDING DEPARTMENT
By
Re: Insured: PAMELA PERRY
Property Address: 27 MCGEE ST,WEST YARMOUTH. MA 02673
Policy Number: 1604882
Type Loss: Vandalism, Malicious Mischief
Date of Loss: 12/15/2022
Claim Number: 468955
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