DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Jerry C	DOIID	566863	NAIC NPN	2138541

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/23/2003	9/30/2011
Inactive	Non Resident	Agent	Casualty	4/23/2003	9/30/2011
* 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	National General Assurance Company	301108	Agent - Casualty	4/29/2003	9/21/2005
Inactive	National General Insurance Company	300152	Agent - Casualty	4/29/2003	2/11/2010
Inactive	National General Insurance Company	300152	Agent - Property	4/29/2003	2/11/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	1/9/2007	2/11/2010
Inactive	National General Ins Marketing Inc	621228	Agent - Property	1/9/2007	2/11/2010