DEPARTMENT OF INSURANCE

Name	Shipp, Robert Walden	DOIID	306158	NAIC NPN	1445492

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	9/25/1974		11/30/2024
Active	Resident	Agent	Casualty	8/15/2000		11/30/2024
Active	Resident	Agent	Health	9/25/1974		11/30/2024
Active	Resident	Agent	Property	8/15/2000		11/30/2024
Inactive	Resident	Agent	General Lines	2/14/1968	8/15/2000
Inactive	Resident	Surplus Lines Broker	Not Applicable	8/21/1997	3/23/2001

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	North Hardin Insurance Agency, Inc. P.O. Box 790 353 W. Lincoln Tr. BlvdRadcliff, KY 40159
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(270) 351-4431