DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kirby, Jesse G	DOIID	865684	NAIC NPN	17453161

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/13/2015	3/31/2019
Inactive	Non Resident	Agent	Property	1/13/2015	3/31/2019
* 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	Selective Insurance Company of the Southeast	300381	Agent - Casualty	10/23/2015	6/16/2016
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	10/23/2015	6/16/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	21st Mortgage Corporation	535238	Agent - Property
Denied	21st Mortgage Corporation	535238	Agent - Casualty