10 NURSERY ST_CLAIM NOTICE 4.19.24 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(6171723.3800 Ma Only(800)392.6108.FAX(800)851.8424
6/8/2024
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: DIANA MORABITO
Property Address: 10 NURSERY ST, SALEM. MA 01970
Policy Number: 1519946
Type Loss: Vandalism, Malicious Mischief
Date of Loss: 04/19/2024
Claim Number: 480187
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 Chaoter 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
CMA00021
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