HomeMy WebLinkAboutNotice of loss 6524 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108.1904
(6171723.3800 Ma Only(8001392-6108.FAX(8001851-8424
8/24/2024
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: PAUL S.&MARK C.ANTAYA
Property Address: 2 BEACH WAY RD,SOUTH YARMOUTH,MA 02664
Policy Number: 1023435
Type Loss: Windstorm Other than Hurricane or Tornad
Date of Loss: 06/05/2024
Claim Number: 481414
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
Cntn00021
AU6 2 9 2224
BUILDING LIE,-
By' .,.