HomeMy WebLinkAboutfurnace damage 01.18.2025MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02'l 08.1 904
(6171 723-3800 Ma Onlv (800) 392.6108. FAX (800) 851.8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen.ws, Ch.139. Sec.38
1t25t2025
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARI\4OUTH MA 02664
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
KIMBERLY TUNNICLIFFE
106 MAYFLOWER TER. S YARMOUTH. MA 02664
1630522
Fumace/Boiler
01t18t2025
483520
Re
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 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 flle number.
[4PlUA Claims Division
cMA00021