HomeMy WebLinkAboutwindstorm damage 2.19.2025MASSACHUSETTS PROPERW INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08-1904
(617) 723.3800 Ma onlv (800) 392-6108. FAx (800) 851-8424
Form of Notice of Casualty Loss to Building
Under lrllass. Gen. Laws, Ch.139, Sec.3B
222t2025
YARI/OUTH FIRE DEPT
96 OLD [,4AIN ST
SOUTH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
ANNETTE WORTHINGTON & CHARLES CASE TRS
60 BAXTER AVE. WEST YARMOUTH. MA 02673
0794516
Wndstorm Other than Hunicane or Tomad
041u2025
484011
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed$1000'00orcauSe@tobeapplicable.|fany
notice under l\,lassachusetts General Laws. Chapter 139. Section 3B is appropriate, please direct it to the
attention of the writer and include a relerence to the captioned insured, location, policy number, date of loss
and claim or file number.
l\.4PlUA Claims Division
ct\,1A00021