HomeMy WebLinkAboutNotice of Losds 10/02/25 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108.1904
(617)723.3800 Ma Only(800)392.6108,FAX(800)851-8424
RECEIVE '' /2025
Form of Notice of Casualty Loss to Building
Under Mass.Gen.Laws,Ch.139,Sec.3B OCT 0 8 2025
BUILDING DEPARTMENT
By:
YARMOUTH BUILDING DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: WILLIAM R.BAYTON JR.&SHELLY N.BAYTON
Property Address: 4 ACRES AVE..WEST YARMOUTH.MA 02673
Policy Number: 0988110
Type Loss: Water Damage:Appliance failure
Date of Loss: 10/02/2025
Claim Number: 487808
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,Chapter 143,section 6 to be applicable. If any
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 file number.
MPIUA Claims Division
CMA00021