1 BEACH AVE_ NOTICE OF LOSS_ 5-10-25 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(6171723.3800 Ma Only(800)392.6108, FAX(800)851.8424
5/17/2025
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: MAUREEN HENTOSH
Property Address: 1 BEACH AVE.. SALEM. MA 01970
Policy Number: 0999108
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 05/10/2025
Claim Number: 485388
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