HomeMy WebLinkAboutWimbledon 21 loss001MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 0E-1 904
(617) 723.3800 Ma Onlv (800) 392-6108. FAX (800) 85'l-8424
Form of Notice of Casualty Loss to Building
Under Mass Gen.Ch.139. Sec.3B
6t7 t2025
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
THOi/AS & ERNESTINE MAGNO
21 WIMBLEDON DR. WEST YARMOUTH. MA
1219474
All Other Section I Losses
05t24t2025
485829
02673
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. Chaoter 143, section 6to be applicable. lf any
notice under Massachusetts General Laws. Chaote|i39, 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
ct A00021