HomeMy WebLinkAboutNotice of Loss 1/26/26 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(617)723-3800 Ma Only(8001 392-6108,FAX(800)851-8424
1/31/2026
Form of Notice of Casualty Loss to Building
Under Mass.Gen. Laws, Ch.139,Sec.3B
YARMOUTH BUILDING DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: TYLER SURDUT AND LIANA SURDUT
Property Address: 39 FINCH LN.WEST YARMOUTH. MA 02673
Policy Number: 1270921
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 01/26/2026
Claim Number: 489503
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
:TB B
2026?