HomeMy WebLinkAboutNotice of Ins Loss - MoldMASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, i,lassachusetts 021 08-1904
(617) 723-3800 Ma Onlv (800) 392-6'108. FAX (800) 851.8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen, Laws. Ch,139. Sec.3B
8129t2026
YARMOUTH HEALTH DEPT
1146 ROUTE 28
SOUTH YARI,4OUTH I\4A 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
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RECEIVEC
stP 0 3 2026
HEALTH DF'
ROBERT PRESTON AND JOANNE PRESTON
75 GLEASON AVENUE. YARMOUTH. MA 02673
1263976
l\,lold caused by: Water Damage
08t23t2026
495025
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000.00 or cause [.4assachusetts General . Chaoter 143. section 6 to be applicable. lf any
notice under l\,lassachusetts 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, location, policy number, date of loss
and claim or file number.
l\,4PlUA Ciaims Division
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