HomeMy WebLinkAboutNotice of Loss 04/11/24 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
4/20/2024
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: ANNE F CONLON
Property Address: 151 SEAVIEW AVE,YARMOUTH, MA 02664
Policy Number: 0993707
Type Loss: Other Physical Damage
Date of Loss: 04/11/2024
Claim Number: 479441
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
RECEIVFD
CMA00021 APR 25 2024
BUILDING DEPARTMENT
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