HomeMy WebLinkAbout9 Pleasant Ave - Notice of Loss 1/28/23 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(8001 851-8424
2/1/2025
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: PRISCILLA NAGY-ANDERSON
Property Address: 8 PLEASANT AVE YCGA.WEST YARMOUTH, MA 02673
Policy Number: 1551513
Type Loss: All Other Section I Losses
Date of Loss: 01/28/2023
Claim Number: 483686
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
EE.B 0 7 2025
BUILDING DEPARTMENT
By