15 Cliff St_ Claim Notice 7.31.23 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617)7233800 Me Onlv(800)392-6108, FAX(800)851-8424
10/21/2023
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: JOHN POPEO AND SARAN POPEO
Property Address: 15 CLIFF ST, SALEM. MA 01970
Policy Number: 1560474
Type Loss: All Other Section I Losses
Date of Loss: 07/31/2023
Claim Number: 475656
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