HomeMy WebLinkAbout35 Captain Stanley Loss NoticeMASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08-1 904
(617) 723-3800 Ma 0nlv (800) 392-6108, FAX (800) 851'8424
Form of Notice of Casualty Loss to Building
Under Mass, Gen. Laws, Ch.139, Sec.3B
7t11t2026
YARMOUTH HEALTH DEPT
1146 ROUTE 28
SOUTH YARMOUTH IVIA 02664
Re
cMA00021
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
WILLIAM PAPADOPOULOS
35 CAPTAIN STANLEY RD. S YARMOUTH. MA
1625357
All Other Section I Losses
08t25t2025
494176
02664
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed$,1000'00orcauSe@tobeapplicab|e.lfany
notice under Massach usetts General Laws. Chaoter 139. Sectlon 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.
IVPIUA Claims Division