HomeMy WebLinkAboutLavender 41 loss001MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02,l08-1904
(617) 723-3800 Ma 0nlv (800) 392-6108, FAX (800) 851.8424
Form of Notice of Casualty Loss to Building
Under l/ass. Gen.Ch.139. Sec.38
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARI4OUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
JULIE CONROY
41 LAVENDER LN. WEST YARMOUTH. MA
'160201 I
Windstorm Other than Hunicane or Tornad
05t31t2025
485747
02673
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000.00 orcause Massachusetts General Laws. Chaoter 143. section 6to be applicable. lfany
notice under Massachusetts General Laws. Chaoter 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
ct\4A00021
6t7t2025