6 LORING HILLS AVE UNIT A2_ CLAIM NOTICE 11-8-25 '000084•
Liberty Mutual Fire Insurance Company
P.O. Box 5014
Scranton PA 18505-5014 Liberty Mutual.
INSURANCE
CONTACT US
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City of Salem Adam.Charach@LibertyMutual.c
93 Washington St om
Salem, MA, 01970-3527 Direct: (516) 479-0688
Fax: (888) 268-8840
Liberty Mutual Fire Insurance
Company
P.O. Box 5014
Scranton PA 18505-5014
United States
(800) 225-2467
November 10, 2025
ATTN LibertyMutual.com
Insured: JONATHAN FARNSWORTH
Policy Number: H62-212-333441-30
Claim Number: 060415594-01
Date of Loss: 11/08/2025
Loss Location: 6 LORING HILLS AVE UNIT A2, SALEM, MA 01970-
4200
To Whom It May Concern,
Pursuant to M.G.L. c. 139, §3B, please be aware that a homeowners insurance claim has been made
involving loss, damage or destruction of the above captioned property, which may either exceed
$1,000.00 or causes the condition of a building or other structure to render Mass. General Laws, Ch. 143,
a § 6 applicable. You are required to notify Liberty Mutual by certified mail in accordance with Mass.
General Laws Ch. 175, §99, if you intend to initiate proceedings designed to perfect alien pursuant to
o-- Mass. General Laws, Ch. 139, §3A& B, or Mass. General Laws, Ch. 143, §9, Or101AS.General Laws,
o Ch. 111, § 127B. _
This letter should not be construed as a waiver or estoppel of any of the terms, conditions or defenses
afforded by the policy or applicable law. Please direct your notice to the attention of the undersigned and
S include a reference to the above captioned property address, policy number, claim number, and date of
b loss. If you have any questions or concerns, please feel free to contact me, either by phone or by email.
o When contacting me by email, please include the claim number in the subject line.
S
f Sincerely,
ADAM CHARACH NOV 18 HN8:27
Claims Department '25 NOV 1$
MAL2020A Massachusetts Property Lien Letter 060415594-01 Page 1 of 1