HomeMy WebLinkAboutwindstorm damage 2017MASSACHUSETTS PROPERW INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08-1 904
(617) 723-3800 ltia Onlv (8001392t108, FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch.139. Sec.3B
a1812017
YARMOUTH FIRE DEPT
96 OLD I\4AIN ST
SOUTH YARI\,IOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
ALEX SLOUTSKY AS A TRUSTEE OF
21 BRAUN RD, WEST YARMOUTH. MA 02673
1081942
Windstorm Other than Hunicane or Tomad
02t14t2017
412217
Claim has been made involving loss, damage or destruction of lhe above captioned prop€rty, which may either
exceed $1000.00 orcause Massachusetts General Laws. Chaoter 143, section 6 to be applicable. lfany
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, localion, policy number, date of loss
and claim or file number.
[,lPlUA Claims Division
cMA00021