HomeMy WebLinkAboutNotice of Loss 042123 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723.3800 Ma Only(800)392-6108, FAX(800)851-8424
4/29/2023
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws Ch.139 Sec.3B
YARMOUTH BUILDING DEPT
1146 ROUTE 28 MAFYO3237\
SOUTH YARMOUTH MA 02664
BUILDING UE.HART MENT
Re: Insured: ROBERT CHRISTO AND ELIZABETH CHRISTO
Property Address: 19 DOHERTY LANE, WEST YARMOUTH, MA 02673
Policy Number: 1329040
Type Loss: Water Damage: Plumbing Systems
Date of Loss: 04/21/2023
Claim Number: 472332
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 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