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HomeMy WebLinkAbout175 old main loss noticeMASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston, Massachusetts 021 08-1904 (617) 723-3800 Ma Onlv (800) 392-6108, FAX (800) 851-8424 Form of Notice of Casualty Loss to Building Under lVass. Gen. Laws, Ch.139, Sec.38 4t25t2026 YARMOUTH HEALTH DEPT 1'146 ROUTE 28 SOUTH YARMOUTH I\,4A 02664 Insu red: Property Address: Policy Number: Type Loss: Date of Loss: Claim Number: RICHARD N AND JUDITH A LEGRAND 175 OLD MAIN STREET, SOUTH YARMOUTH. MA 02664 0958144 Theft 04117t2026 492784 Re Claim has been made involving loss, damage or deshuction of the above captioned property, which may either exceed $1000.00 or cause l\4assachusetts General Laws. Chapter'143. section 6to be applicable. lf any 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. l\4PlUA Claims Division c[/A00021