DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Jeremy	DOIID	733276	NAIC NPN	15852630

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/18/2012	3/31/2015
Inactive	Non Resident	Agent	Casualty	7/28/2010	3/31/2015
Inactive	Non Resident	Agent	Property	7/28/2010	3/31/2015
* 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	Allstate Indemnity Company	300778	Agent - Casualty	8/10/2010	7/12/2011
Inactive	Allstate Indemnity Company	300778	Agent - Property	8/10/2010	7/12/2011
Inactive	Allstate Insurance Company	300773	Agent - Casualty	8/10/2010	7/12/2011
Inactive	Allstate Insurance Company	300773	Agent - Property	8/10/2010	7/12/2011
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/10/2010	7/12/2011
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/10/2010	7/12/2011
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	10/25/2012	12/14/2014
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	10/25/2012	12/14/2014
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	12/29/2011	3/18/2015
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	12/29/2011	3/18/2015

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 - Property	1/6/2012	3/19/2015
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	1/6/2012	3/19/2015
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Life	10/28/2012	12/14/2014