HomeMy WebLinkAboutseaview 166-7001MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02,l 08-1904
(617) 723-3800 Ma 0nlv (800) 392-6108. FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under l\4ass. Gen. Laws. Ch.139. Sec.3B
7 t19t2025
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARI\,4OUTH MA 02664
Re lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
CYNTHIA BEST
166 SEAVIEWAVE UNIT7. SYARMOUTH. MA 02664
153'1173
All Other Section I Losses
05105t2025
486638
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed$1000'00orcause@tobeapplicab|e.lfany
notice under Massachusetts General Laws. Chaoter 139. Section 3B is appropriate, please direct it to the
attention of the wnter and include a reference to the captioned insured, location, policy number, date of loss
and claim or lile number.
MPIUA Claims Division
ct\.4A00021