4D STILLWELL DRIVE_ NOTICE OF LOSS 10-6-25 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108.1904
(617)7233800 Ma Only(800)392.6108, FAX(800)851.8424
10/18/2025
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: 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 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