20 BEACH AVE_ 1.13.24 _ CLAIM MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
TWO Center Plaza
Boston,Massachusetts 02108.1904
(617)723.3800 Ma Only(8001392.6108,FAX(800)851.8424
1/20/2024
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws Ch.139 Sec.3B
SALEM BUILDING COMMISSIONER
SALEM CITY HALL
SALEM MA 01970
Re: Insured: LINDA M SPINALE
Property Address: 20 BEACH AVE, SALEM, MA 01970
Policy Number: 1485738
Type Loss: Windstorm Other than Hurricane or Tornad
Date of Loss: 01/13/2024
Claim Number: 477763
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 Cha ter 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