HomeMy WebLinkAbouttheft 2015MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08-'l 904
(617) 723-3800 Ma 0nlv (800) 392.6108, FAX (800) 851-8424
Form of Nolice of Casualty Loss to Building
Under [/ass. Gen. Laws, Ch.139. Sec.3B
5t13t2015
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARI\,,IOUTH IV1A 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
JEFFREY L. WRAGG AND
54 EILEEN STREET. YARMOUTHPORT. MA 02675
1032182
Theft
0511212015
339070
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed$1000.00orcaUse@tobeapplicable.lfany
notice under Massachusetts General Laws. Chaoter 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 ol loss
and claim or file number.
N.4PlUA Claims Division
cr\,,1A00021