HomeMy WebLinkAbout12 Rita Avenue Loss Notice 8.26.26MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08-1 904
(61il 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
8t22t2026
RECEIVED
'riij 26 2026
HEALTH DEPT.YARMOUTH HEALTH DEPT
1 146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
BEVAN AND DESPINA HALL
12 RITA AVENUE. SOUTH YARMOUTH. MA
1 140665
Water Damage: Plumbing Systems
08t15t2026
494897
02664
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 Massachusetts General Laws, Chapter 139, Section 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.
MPIUA Claims Division
cMA00021