HomeMy WebLinkAboutInsurance Letter - Correspondence - 119-121 MARBLEHEAD STREET 6/1/2023 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723.3800 Ma Only(800)392-6108, FAX(800)851.8424
6/3/2023
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws Ch.139 Sec.36
NORTH ANDOVER FIRE DEPT.
795 CHICKERING RD
NORTH ANDOVER MA 01845
Re: Insured: DAVID MUSHATY AND HOLLY MUSHATY
Property Address: 119-121 MARBLEHEAD ST, NORTH ANDOVER, MA 01845
Policy Number: 1622976
Type Loss: Fire(including Fire caused by Lightning
Date of Loss: 06101/2023
Claim Number: 472956
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 36 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
I
CMA00021