20 KOSCIUSKO STREET - CLAIM NOTICE (002) Homeowner Operations Field Claim Office
P.O.Box 6040
Scranton,PA 18505
' FARM ERS
INSURANCE
February 8, 2022
City of Salem Inspectional Services
120 Washington Street, 3rd Floor
Salem,MA 01970
Our Customer: Anne C. Cromwell
Claim Number: JDK21795 AR
Date of Loss: January 16,2022
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 § 313, or if there is an intent to initiate proceedings to perfect such a lien.
Loss Location: 20 Kosciusko St, Salem, MA
Sincerely,
s
Anthony Grasso - FLD
Farmers Property and Casualty Insurance Company -_
Senior Claim Adjuster
(978) 914-3323 Ext. . —_
Fax: (866) 404-8179 =_
Email: anthony.grasso@farmersinsurance.com
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MPL MA-REGDEPT Printed in U.S.A 0921