HomeMy WebLinkAboutNotice of Loss 8/26/26 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
R E C E 1 w Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108. FAX(800)851-8424
r SEP 17 2026 1 9/12/2026
BUILDING DEPARTMENT Form of Notice of Casualty Loss to Building
By ------ -------- Under Mass. Gen. Laws, Ch.139, Sec.3B
YARMOUTH BUILDING DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: JEFFREY J HART
Property Address: 48 TALL PINES DRIVE,YARMOUTH, MA 02675-2517
Policy Number: 0758088
Type Loss: Water Damage: All Other Water Damage
Date of Loss: 08/26/2026
Claim Number: 495260
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. If any
notice under Massachusetts General Laws, Chapter 139, Section 3B 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