DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Peterson, McAnally & Tabor Insurance Agency, Inc.	DOIID	502293	NAIC NPN	2224382

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	1/30/2009
Inactive	Non Resident	Agent	General Lines	2/4/2000	8/15/2000
Inactive	Non Resident	Agent	Property	8/15/2000	1/30/2009
* 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	Legion Insurance Company	301490	Agent - Casualty	8/15/2000	7/1/2003
Inactive	Legion Insurance Company	301490	Agent - General Lines	2/4/2000	8/15/2000
Inactive	Legion Insurance Company	301490	Agent - Property	8/15/2000	7/1/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fredricksen, Mark Dayne	363164	Agent - Casualty	8/15/2000	1/30/2009
Inactive	Fredricksen, Mark Dayne	363164	Agent - General Lines	2/4/2000	8/15/2000
Inactive	Fredricksen, Mark Dayne	363164	Agent - Property	8/15/2000	1/30/2009