DEPARTMENT OF INSURANCE

Affiliations

Name	Payne, Debra Sue	DOIID	638874	NAIC NPN	8895818

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	10/2/2006	6/6/2008
Inactive	Resident	Agent	Casualty	10/2/2006	6/6/2008
* 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	Acadia Insurance Company	557871	Agent - Casualty	1/29/2008	6/6/2008
Inactive	Acadia Insurance Company	557871	Agent - Property	1/29/2008	6/6/2008
Inactive	American Select Insurance Company	301229	Agent - Casualty	10/27/2006	6/6/2008
Inactive	American Select Insurance Company	301229	Agent - Property	10/27/2006	6/6/2008
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	11/30/2007	5/21/2008
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	11/30/2007	5/21/2008
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/18/2007	6/6/2008
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/18/2007	6/6/2008
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/8/2007	6/6/2008
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/8/2007	6/6/2008
Inactive	Continental Western Insurance Company	300576	Agent - Casualty	1/29/2008	6/6/2008
Inactive	Continental Western Insurance Company	300576	Agent - Property	1/29/2008	6/6/2008
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	12/18/2006	6/6/2008
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	12/18/2006	6/6/2008
Inactive	Grange Insurance Company	300234	Agent - Casualty	12/18/2006	6/6/2008
Inactive	Grange Insurance Company	300234	Agent - Property	12/18/2006	6/6/2008
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/7/2008	6/6/2008
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/7/2008	6/6/2008
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/8/2007	6/6/2008
Inactive	Indiana Insurance Company	301909	Agent - Property	8/8/2007	6/6/2008
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/8/2007	6/6/2008
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/8/2007	6/6/2008
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	12/24/2007	6/6/2008
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	12/24/2007	6/6/2008
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	10/27/2006	6/6/2008
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	10/27/2006	6/6/2008
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/8/2007	6/6/2008
Inactive	Peerless Insurance Company	301910	Agent - Property	8/8/2007	6/6/2008
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	12/18/2006	6/6/2008
Inactive	Trustgard Insurance Company	300104	Agent - Property	12/18/2006	6/6/2008
Inactive	Union Insurance Company	547433	Agent - Casualty	1/29/2008	6/6/2008
Inactive	Union Insurance Company	547433	Agent - Property	1/29/2008	6/6/2008
Inactive	Westfield Insurance Company	301950	Agent - Casualty	10/2/2006	6/6/2008
Inactive	Westfield Insurance Company	301950	Agent - Property	10/2/2006	6/6/2008
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	10/27/2006	6/6/2008
Inactive	Westfield National Insurance Company	301036	Agent - Property	10/27/2006	6/6/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Berryman Insurance Agency Inc.	398251	Agent - Casualty	1/3/2007	6/6/2008
Inactive	Berryman Insurance Agency Inc.	398251	Agent - Property	1/3/2007	6/6/2008