HomeMy WebLinkAboutNotice of Loss 7/3/24 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424
7/13/2024
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: JAMES T YOUNG&CAROLYN M YOUNG
Property Address: 300 BUCK ISLAND ROAD.UNIT 8D.WEST YARMOUTH,MA 02673
Policy Number: 0942548
Type Loss: Mold caused by:Water Damage
Date of Loss: 07/03/2024
Claim Number: 480695
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
RECEIVED
JUL 19 20241
J
BUILDING DEPARTMENT
By: