DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burkhardt, Nicole	DOIID	607725	NAIC NPN	8450196

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/27/2005	8/31/2007
Inactive	Non Resident	Agent	Casualty	4/27/2005	8/31/2007
* 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	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	5/5/2005	9/7/2005
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	5/5/2005	9/7/2005
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	5/5/2005	9/7/2005
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	5/5/2005	9/7/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Farmers General Insurance Agency, Inc.	516608	Agent - Property	7/28/2005	9/7/2005
Inactive	Farmers General Insurance Agency, Inc.	516608	Agent - Casualty	7/28/2005	9/7/2005