HomeMy WebLinkAboutNotice of Loss 4/8/25 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
4/12/2025
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: ADAM SINEWITZ
Property Address: 43 ACRES AVE,WEST YARMOUTH, MA 02673
Policy Number: 1545817 --'"-
Type Loss: Windstorm Other than Hurricane or Tornad $� ^ r
Date of Loss: 04/08/2025 ,)
Claim Number: 484888 APR
12425
DDILDING DEP _ ______
Claim has been made involving loss,damage or destruction of the above captioned property,w ich-may either
exceed$1000.00 or cause Massachusetts General Laws, Chapter 143section 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