DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shackelford, Brandon Lee	DOIID	632599	NAIC NPN	7958186

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	5/23/2006	11/30/2007
Inactive	Non Resident	Agent	Casualty	5/23/2006	11/30/2007
* 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	Nationwide Assurance Company	300166	Agent - Casualty	6/12/2006	8/23/2007
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	6/12/2006	8/23/2007
Inactive	Nationwide General Insurance Company	300603	Agent - Property	6/12/2006	8/23/2007
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	6/12/2006	8/23/2007
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	6/12/2006	8/23/2007
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	6/12/2006	8/23/2007
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	6/12/2006	8/23/2007
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	6/12/2006	8/23/2007
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	6/12/2006	8/23/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	7/2/2007	8/23/2007
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	7/2/2007	8/23/2007