HomeMy WebLinkAboutNotice of Loss 11/01/24 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
12/7/2024
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139,Sec.3B
IRECEIVED
YARMOUTH BUILDING DEPT
1146 ROUTE 28 DEC 1 1 2024
SOUTH YARMOUTH MA 02664 BUILDING DEPARTMENT
By
Re: Insured: DENNIS NEIER AND MARISHA KRUPKIN
Property Address: 858 W YARMOUTH RD,YARMOUTH PORT, MA 02675
Policy Number: 1651864
Type Loss: Other Causes of consequential Mold
Date of Loss: 11/01/2024
Claim Number: 482778
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