HomeMy WebLinkAbout33A Baxter Loss NoticeMASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108'1904
(617) 723-3800 Ma Onlv (800) 392'6108, FAX (800) 85,|'8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch.139. Sec.38
7 t11t2026
YARI\,,IOUTH HEALTH DEPT
1 146 ROUTE 28
SOUTH YARMOUTH MA 02664
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
MARY CAULEY AND RYAN CAULEY
33A BAXTER AVENUE. WEST YARI\4OUTH. [,'!A
13M802
All other Section I Losses
04t16t2026
494189
Re
02673
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. lf any
notice under husetts eral Laws. Chaoter 139,38is appropriate, please direct it to the
attention of the writer and include a reference to the captioned insured, locatlon, policy number, date of loss
and claim or file number.
MPIUA Claims Division
cN,1A00021