DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Harper, Timothy R	DOIID	566605	NAIC NPN	5950641

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/19/2003	10/31/2015
Inactive	Non Resident	Agent	Casualty	3/19/2003	10/31/2015
* 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	American Bankers Insurance Company of Florida	300360	Agent - Casualty	9/7/2012	10/31/2015
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	9/7/2012	10/31/2015
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	6/3/2004	11/9/2012
Inactive	American Modern Select Insurance Company	581481	Agent - Property	6/3/2004	11/9/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CMH Homes, Inc.	398100	Agent - Casualty	6/23/2005	10/31/2015
Inactive	CMH Homes, Inc.	398100	Agent - Property	6/23/2005	10/31/2015