HomeMy WebLinkAboutwater damage 10.14.2024MASSACHUSETTS PROPERW INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02,l 08-1 904
(617) 723-3800 Ma Onlv (800) 392.6108. FAX (800) 85,l-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.'139. Sec.3B
10t1st2024
YARI/OUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
DONALD AND ANN DEFOSSE
48 WILD HUNTER RD. YARMOUTH PORT. MA
1630805
Water Damage: Appliance failure
10114t2024
482191
02675
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000.00orcause l\4assachusetts General Laws. Chaoter 143. section 6to be applicable. Ifany
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.
MPIUA Claims Division
c[4A00021