HomeMy WebLinkAboutStudley 78 loss001MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08.1 904
(517) 723-3800 Ma Onlv (800) 392-6108. FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.38
617 t2025
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUIH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
HERBERT HEALIS AND BEVERLY HEALIS
78 STUDLEY RD. S YARMOUTH. MA 02664
1596316
Windstorm Other than Hunicane or Tomad
05t30t2025
485837
Claim has been made involving loss, damage or destruction of the above captjoned property, which may either
exceed $1000,00orcause [4assachusefts General Laws. Chaoter 143. section 6to be applicable. lf any
notice under Massachusetts General Laws. Chaoter '139. Section 3B is appropnate, please direct it to the
attention of the writer and include a reference to the captioned insured, Iocation, policy number, date of loss
and claim or file number.
MPIUA Claims Division
cr\.,rA00021