HomeMy WebLinkAbout26 Mockingbird Loss NoticeMASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617) 723-3800 Ma Onlv (800) 392.6108. FAX (800) 851.8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec,3B
7t11t2026
YARIVOUTH BUILDING DEPT
1146 RoUTE 28
SOUTH YARI/OUTH [,4A 02664
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
ERNEST O AND DONNA E DALPE
26 MOCKINGBIRD LANE. WEST YARI\,IOUTH. I\i]A
0922939
Water Damage: Appliance failure
07t07t2026
494209
02673
Re
c[4A00021
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000,00orcause lvassachusetts General Laws. Chapter 143. section 6to be applicable. lfany
notice under l assachusetts General Laws. Chaoter 139, Section 38 js appropriate, please direct ittothe
aftention 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