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65 WHARF STREET UNIT 3 - CLAIM NOTICE Homeowner Operations Field Claim Office P.O.Box 6040 Scranton, PA 18505 r,N FARMERS INSURANCE December 16, 2021 City of Salem Inspectional Services 120 Washington Street, 3rd Floor Salem, MA 01970 Our Customer: Albert A. Moore Claim Number: JDK14980 GE Date of Loss: December 12, 2021 Dear City of Salem Inspectional Services: Pursuant to M.G.L. 139 § 313,please be advised that a property loss at the address referenced below has been estimated to have caused damage to the dwelling or other structures that will exceed one thousand dollars. Please let us know within ten(10) days if there is a pending or existing lien against the property as provided by M.G.L. 139 § 3B, or if there is an intent to initiate proceedings to perfect such a lien. Loss Location: 65 Wharf St Unit 3, Salem, MA Sincerely, Kris Zimmerman Farmers Property and Casualty Insurance Company Claim Adjuster (800) 854-6011 Ext. 7281 Fax: (877) 903-5173 Email: kristi.zmmerman@farmersinsurance.com .DEC 30 Gm a11= rf: l�t+a = MPL MA-REGDEPT Printed in U.S.A 0921