HomeMy WebLinkAboutwindstorm damage 10.14.2024MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, ilassachusetts 02.l08.i904
(6,l7) 723.3800 Ma Ontv (800) 392-6i08, FAX (800) 851.8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch.139. Sec.3B
1111t2025
Re
YAR[4OUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
MYRNA EVANS
125 BAYVIEW ST. WEST YARMOUTH. MA
1652477
Windstorm Other than Hunicane or Tomad
10t1412024
483354
02673
MPIUA Claims Division
claim has been made involving loss, damage or destructron of the above captioned property, which may either
exceed $1000.00 or cause Massachusetts General Laws. chaoter 143. section 6to be applicable. lfany
notice under l assachusetts General Laws. chaoter '139, section 38 is appropnate, 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 file number.
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