HomeMy WebLinkAbouttee 44001MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02'l 08.1904
(617) 723.3800 Ma Onlv (800) 392.6108. FAX (800I851.8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen Ch.139. Sec.3B
7 t12t2025
YARI\4OUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARI\,,IOUTH [,IA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
JUNQING XU AND HONG YU
44 TEE WAY. S YARMOUTH, I\4A 02664
1634309
Water Damage: All Other Water Damage
07106t2025
486362
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 6 to be applicable. lfany
notice under Massachusetts General Laws. Chaoter 139. Section 38 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.
N.,lPlUA Claims Division
cMA00021