37 HANCOCK STREET NOTICE OF LOSS 7-14-25 IMASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617)723.3800 Ma Only(800)392.6108.FAX(800)851-8424
7/19/2025
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: JUDITH E. MIRABILE
Property Address: 37 HANCOCK STREET. SALEM, MA 01970
Policy Number: 1259667
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 07/14/2025
Claim Number: 486554
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