DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wallace, Tamara R	DOIID	558970	NAIC NPN	3393826

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/8/2010	3/2/2011
Inactive	Non Resident	Agent	Property	1/8/2010	3/2/2011
* 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	Hartford Underwriters Insurance Company	301064	Agent - Casualty	11/25/2002	4/30/2003
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	11/25/2002	4/30/2003
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	1/12/2010	3/2/2011
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	1/12/2010	3/2/2011
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	11/25/2002	4/30/2003
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	11/25/2002	4/30/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	2/4/2010	2/22/2011
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	2/4/2010	2/22/2011