HomeMy WebLinkAboutinsurance claim 2025MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1 904
(5171723-3800 Ma Onlv (800) 392-6'108. FAX (800) 851.8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen, Laws. Ch.139. Sec.3B
12t27t2025
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARI\.4OUTH t\,lA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
ARKADY GOLDENSHTEIN
16 WILSON RD. WEST YARMOUTH. MA
1480165
All other Section I Losses
12121t2025
489026
02673
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 of loss
and claim or file number.
MPIUA Claims Division
c[,,1A00021