HomeMy WebLinkAboutNotice of Loss 011024 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723.3800 Ma Only(800)392-6108, FAX(800)851-8424
1/13/2024
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
I ECF V DI
YARMOUTH BUILDING DEPT
1146 ROUTE 28 JAN 19 2024
SOUTH YARMOUTH MA 02664
BUILDING DEPARTMENT
By ------ --
Re: Insured: KEVIN&RONNI MOORE
Property Address: 10 CROMWELL DR,YARMOUTH PORT, MA 02675
Policy Number: 1614874
Type Loss: Fire(including Fire caused by Lightning
Date of Loss: 01/10/2024
Claim Number: 477594
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