20 Beach Ave_ Claim Notice 11.29.22 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723.3800 Ma Only(800)392.6108.FAX(800)851.8424
12/24/2022
Form of Notice of Casualty Loss to Building
Under Mass. Gen, Laws Ch.139: Sec.36
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: All Other Section I Losses
Date of Loss: 11/29/2022
Claim Number: 468932
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