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255 Lafayette St Apt 5_ Claim Notice_ 10.26.22 Homeowner Operations Field Claim Office P.O.Box 6040 Scranton,PA 18505 FARMERS INSURANCE October 28, 2022 City of Salem Inspectional Services 120 Washington Street, 3rd Floor Salem, MA 01970 Our Customer: ins Atk Claim Number: Susan Susan Atkins AK Date of Loss: JDK6October 26, 2022 Dear City of Salem Inspectional Services: Pursuant to M.G.L. 139 § 313,please be advised that a property loss at the address referenced below has been estimated to have caused damage to the dwelling or other structures that will exceed one thousand dollars. Please let us know within ten (10) days if there is a pending or existing lien against the property as provided by M.G.L. 139 § 3B, or if there is an intent to initiate proceedings to perfect such a lien. Loss Location: 255 Lafayette St Apt 5, Salem, MA Sincerely, Chris Popielski - FLD Farmers Property and Casualty Insurance Company Claim Adjuster =_ (978) 844-1108 Fax: (866) 947-0184 Email: chris.popielski@farmersinsurance.com mp MPL MA-REGOEPT �prt2tary Printed in U.S.A 0921