HomeMy WebLinkAboutNotice of Damage 2025MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08-1 904
(617) 723-3800 Ma Onlv (8001392-6108. FAX (800) 851.8424
Form of Notice of Casualty Loss to Building
Under [4ass, Gen. Laws. Ch.139. Sec.3B
i'
DEp
s,j€
LTH
0cI 70?t\
H I
YARI\,4OUTH HEALTH DEPT
1146 ROUTE 28
SOUTH YARI\,IOUTH IUA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
WILLIAM R. BAYTON JR, & SHELLY N. BAYTON
4 ACRES AVE.. WEST YARMOUTH. MA 02673
0988110
Water Damage: Appliance failure
10102t2025
487808
Claim has been made involving loss, damage or destruction of the above captioned propefty, which may either
exceed$1000'00orcaUSe@tobeapplicab|e.|fany
notice under Massachusetts General Laws. Chapter 139. Section 3B 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 flle number.
l\.4PlUA Claims Division
OCT q C ZCZ|
!ULS!1;1tilrt;?=
DFo r-HEAtTH
10t4t2025
I
crvA00021