DEPARTMENT OF INSURANCE

Affiliations

Name	Forsyth, Walter South	DOIID	633590	NAIC NPN	1253412

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/6/2006	5/31/2010
Inactive	Non Resident	Agent	Life	6/6/2006	5/31/2010
Inactive	Non Resident	Agent	Property	6/6/2006	5/31/2010
Inactive	Non Resident	Agent	Casualty	6/6/2006	5/31/2010
* 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	AIG Property Casualty Company	300621	Agent - Casualty	7/25/2006	4/1/2009
Inactive	AIG Property Casualty Company	300621	Agent - Property	7/25/2006	4/1/2009
Inactive	AIU Insurance Company	300729	Agent - Casualty	7/25/2006	4/1/2009
Inactive	AIU Insurance Company	300729	Agent - Property	7/25/2006	4/1/2009
Inactive	American Home Assurance Company	300246	Agent - Casualty	7/25/2006	4/1/2009
Inactive	American Home Assurance Company	300246	Agent - Property	7/25/2006	4/1/2009
Inactive	Commerce and Industry Insurance Company	300881	Agent - Casualty	7/25/2006	4/1/2009
Inactive	Commerce and Industry Insurance Company	300881	Agent - Property	7/25/2006	4/1/2009
Inactive	Granite State Insurance Company	300818	Agent - Casualty	7/25/2006	4/1/2009
Inactive	Granite State Insurance Company	300818	Agent - Property	7/25/2006	4/1/2009
Inactive	Homesite Insurance Company	301139	Agent - Casualty	7/19/2006	5/31/2010
Inactive	Homesite Insurance Company	301139	Agent - Property	7/19/2006	5/31/2010
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	7/25/2006	4/1/2009
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Health	4/21/2008	5/31/2010
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Property	7/25/2006	4/1/2009
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	7/25/2006	4/1/2009
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	7/11/2007	5/31/2010
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	7/25/2006	4/1/2009
Inactive	New Hampshire Insurance Company	301670	Agent - Casualty	7/25/2006	4/1/2009
Inactive	New Hampshire Insurance Company	301670	Agent - Property	7/25/2006	4/1/2009
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	7/29/2008	9/4/2009
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	7/29/2008	9/4/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Travel Insurance Agency	612354	Agent - Casualty	2/19/2007	5/31/2010
Inactive	AIG Travel Insurance Agency	612354	Agent - Property	2/19/2007	5/31/2010