HomeMy WebLinkAboutNotice of Loss 5/18/26 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(8001392-6108, FAX(800)851-8424
5/23/2026
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: DAVID M&LORI V FELLOWS,TRUSTEES OF
Property Address: 2 LABAN LN, S YARMOUTH, MA 02664
Policy Number: 1627110
Type Loss: Fire(including Fire caused by Lightning
Date of Loss: 05/18/2026
Claim Number: 493217
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
RECEIVED
L.I.A..Y2 9 2026
BUILDING DEPARTMENT
By