DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pettit , Katie Ann	DOIID	594906	NAIC NPN	8216343

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	9/23/2004	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	9/1/2004	9/23/2004
Active	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010		6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Staff Adjuster	04/15/2024	06/30/2024	04/09/2024	04/09/2024	Yes

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	State Farm Fire and Casualty Company	301809	Adjuster - Independent	7/17/2007	7/1/2010
Active	State Farm Fire and Casualty Company	301809	Staff Adjuster - Property & Casualty	7/1/2010

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Shim, Melissa M	604184	Apprentice Adjuster - Not Applicable	3/2/2005	6/14/2005

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Skidmore, Laura Koppert	557963	Apprentice Adjuster - Not Applicable	9/1/2004	9/23/2004