HomeMy WebLinkAboutNotice of Loss 72522 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
7/30/2022
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
YARMOUTH BUILDING DEPT
1146 ROUTE 28 RECEIVED
SOUTH YARMOUTH MA 02664
Aug 05 2022
BUILDING DEPARTMENT
Re: Insured: ROBERT C&PATRICIA NEWELL
Property Address: 269 OLD MAIN ST, SOUTH YARMOUTH, MA 02664
Policy Number: 0646384
Type Loss: Theft
Date of Loss: 07/25/2022
Claim Number: 466674
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