HomeMy WebLinkAbouttheft 2014MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02'l 08-1 904
{617} 723-3800 Ma Onlv (800) 392-6108. FAX (800) 8s1.8424
Form of Notice of Casualty Loss to Building
Under lvlass. Gen. Laws. Ch.139. Sec.38
5t712015
YARMOUTH FIRE DEPT
96 OLD I/AIN ST
SOUTH YARMOUTH MA 02664
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
PAUL BURNS TRUSTEE OF THE
55 MAUSHOPS PATH. WEST YARMOUTH. MA 02673
1312560
Theft
12t1512014
338803
Re
ctvA00021
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 38 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,
MPIUA Claims Division