HomeMy WebLinkAboutNotice of Loss 6/30/24 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(6171723.3800 Ma Only(800)392-6108,FAX(8001851-8424
7/6/2024
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: TIMOTHY SCARLETT TRUSTEE OF THE DOROTHY
Property Address: 39 FOUR SEASONS DRIVE.SOUTH YARMOUTH,MA 02664-2136
Policy Number: 0804512
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 06/30/2024
Claim Number: 480640
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 36 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 12 2024
J
BUILDING DEPARTMENT
By.