HomeMy WebLinkAboutNotice of Loss 7/20/24 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(8001392-6108. FAX(800)851-8424
7/27/2024
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: GEORGIA THOIDIS TRUSTEE OF THE
Property Address: 9 BASS RIVER TER. S YARMOUTH. MA 02664
Policy Number: 1598666
Type Loss: Water Damage:Appliance failure
Date of Loss: 07/20/2024
Claim Number: 480978
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
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BUILDING DEPARTMENT
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