DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burnett, Sharon Renea	DOIID	628899	NAIC NPN	5939173

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/27/2006		8/31/2026
Active	Non Resident	Agent	Casualty	3/27/2006		8/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/3/2014		8/31/2026
* 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
Agent	06/15/2024	08/31/2024	06/10/2024	06/10/2024	Yes
Surplus Lines Broker	06/15/2024	08/31/2024	06/10/2024	06/10/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Great American Insurance Company	301586	Agent - Casualty	2/15/2007	12/20/2013
Inactive	Great American Insurance Company	301586	Agent - Property	2/15/2007	12/20/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown & Brown of Nashville Inc	675114	Agent - Property	3/12/2008	8/26/2011
Inactive	Brown & Brown of Nashville Inc	675114	Agent - Casualty	3/12/2008	8/26/2011
Inactive	Security Insurance, Inc. II	571204	Agent - Property	2/15/2007	1/29/2009
Inactive	Security Insurance, Inc. II	571204	Agent - Casualty	2/15/2007	1/29/2009