DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Payne, Misty	DOIID	685516	NAIC NPN	11011276

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	7/28/2008	1/31/2011
Inactive	Non Resident	Agent	Casualty	7/28/2008	1/31/2011
* 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	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	8/7/2008	6/9/2009
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	8/7/2008	6/9/2009
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	8/15/2008	9/9/2009
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	8/15/2008	9/9/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	QBE First Enterprises LLC	610980	Agent - Property	8/26/2008	5/4/2009
Inactive	QBE First Enterprises LLC	610980	Agent - Casualty	8/26/2008	5/4/2009