DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Owens, Harley R	DOIID	335530	NAIC NPN	1444409

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	General Lines	4/17/1991	8/15/2000
Inactive	Non Resident	Agent	Casualty	8/15/2000	7/31/2015
Inactive	Non Resident	Agent	Property	8/15/2000	7/31/2015
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	3/12/2012	12/20/2013
Inactive	Auto-Owners Insurance Company	301480	Agent - General Lines	10/2/1996	8/15/2000
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	3/12/2012	12/20/2013
Inactive	Indiana Insurance Company	301909	Agent - General Lines	4/17/1991	12/27/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Charles Green Ins Inc	776670	Agent - Property	3/7/2012	7/31/2015
Inactive	Charles Green Ins Inc	776670	Agent - Casualty	3/7/2012	7/31/2015