DEPARTMENT OF INSURANCE

Affiliations

Name	Stapleton, Tina Denise	DOIID	350643	NAIC NPN	3415838

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	10/6/1999	1/31/2007
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Great American Insurance Company	301586	Adjuster - Independent	10/6/1999	1/31/2007
Inactive	MSI Risk Management Services, Inc	540732	Adjuster - Independent	10/24/2001	3/7/2007