HomeMy WebLinkAboutNotice of Loss 4/19/24 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(6171723-3800 Ma Only(800)392-6108, FAX(800)851-8424
4/27/2024
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
YARMOUTH BUILDING DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: JEAN C BERRY
Property Address: 6 THACHER ST,YARMOUTHPORT, MA 02675
Policy Number: 1211432
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 04/19/2024
Claim Number: 479535
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
RECEiv � D
CMA00021 [MAY 02 2024
BUILDING DEPARTME�y------__._ NT