4 STILLWELL DRIVE, UNIT D, 10-6-25 CLAIM MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108.1904
(617)723-3800 Ma Only(8001392-6108, FAX(8001851-8424
10/1812025
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws Ch.139,Sec.313 RECEIVE®
OCT 2 2 2025
SALEM HEALTH DEPT CITY OF SALEM
SALEM CITY HALL BOARD OF HEALTH
SALEM MA 01970
Re: Insured: CORINNE CALLAHAN
Property Address: 4D STILLWELL DR.SALEM, MA 01970
Policy Number: 1708731
Type Loss: All Other Section I Losses
Date of Loss: 10/06/2025
Claim Number: 487995
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 313 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