HomeMy WebLinkAboutNotice of Loss 22924 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(617)723-3800 Ma Only(8001 392-6108.FAX(800)851-8424
3/9/2024
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
MAR 15 2024
BUILDING DEPARTMENT
By
Re: Insured: EDER DE OLIVEIRA GONCALVES
Property Address: 155 STATION AVE,S YARMOUTH,MA 02664
Policy Number: 1632894
Type Loss: Vehicle Damage
Date of Loss: 02/29/2024
Claim Number: 478558
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