DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Carter, Mitsuko	DOIID	637756	NAIC NPN	8733478

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/10/2006	3/31/2012
Inactive	Non Resident	Agent	Property	8/10/2006	3/31/2012
* 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	21st Century North America Insurance Company	300884	Agent - Casualty	6/5/2009	6/21/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Property	6/5/2009	6/21/2011
Inactive	Homesite Insurance Company	301139	Agent - Casualty	8/30/2006	6/21/2011
Inactive	Homesite Insurance Company	301139	Agent - Property	8/30/2006	6/21/2011

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	3/1/2007	3/31/2011
Inactive	AIG Travel Insurance Agency	612354	Agent - Property	3/1/2007	3/31/2011