HomeMy WebLinkAboutNotice of Loss 4/30/25 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
5/10/2025
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
RECEIVED .
YARMOUTH BUILDING DEPT MAY 15 2025
1146 ROUTE 28
SOUTH YARMOUTH MA 02664 BUILDING DEPARTMENT
By .^_...__...__..
Re: Insured: ROBIN TROXELL AND ROBERT TROXELL
Property Address: 15 ARTHUR LANE,YARMOUTHPORT, MA 02675
Policy Number: 1455191
Type Loss: All Other Section I Losses
Date of Loss: 04/30/2025
Claim Number: 485262
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