HomeMy WebLinkAboutNotice of Loss 9/2/25 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108. FAX(800)851-8424
9/6/2025
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
YARMOUTH BUILDING DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: ROBERT AND SANDRA ROYSTER,TRUSTEES
Property Address: 20 HOPE ROAD, SOUTH YARMOUTH, MA 02664
Policy Number: 1173782
Type Loss: Furnace/Boiler
Date of Loss: 09/02/2025
Claim Number: 487344
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 RECEIVED
L! IiJ
2025
BUILDING DEPARTMENT
By