51 LAFAYETTE STREET UNIT 508 - CLAIM LTR MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424
5/13/2021
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch.139. Sec.313
SALEM BUILDING COMMISSIONER
SALEM CITY HALL
SALEM MA 01970
MAY
Re: Insured: RICHARD BUCHANAN AND LAURIE BUCHANAN
Property Address: 51 LAFAYETTE ST UNIT 508, SALEM, MA 01970
Policy Number: 1297001
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 03/09/2021
Claim Number: 455698
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