DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Michael D	DOIID	590881	NAIC NPN	5724152

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	6/11/2004	10/31/2008
Inactive	Non Resident	Agent	Property	6/11/2004	10/31/2008
* 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	Selective Insurance Company of America	500018	Agent - Casualty	3/2/2005	10/31/2008
Inactive	Selective Insurance Company of America	500018	Agent - Property	3/2/2005	10/31/2008
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	3/2/2005	10/31/2008
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	3/2/2005	10/31/2008
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	3/2/2005	10/31/2008
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	3/2/2005	10/31/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Conner Strong & Buckelew Companies, LLC	502267	Agent - Property	3/2/2005	10/31/2008
Inactive	Conner Strong & Buckelew Companies, LLC	502267	Agent - Casualty	3/2/2005	10/31/2008