DEPARTMENT OF INSURANCE

Name	Forcht, Theodore B	DOIID	331129	NAIC NPN	7178164

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	9/8/1987	5/31/2006
Inactive	Resident	Agent	Health	9/8/1987	5/31/2006
Inactive	Resident	Agent	Property	8/15/2000	5/31/2006
Inactive	Resident	Agent	Casualty	8/15/2000	5/31/2006
Inactive	Resident	Agent	General Lines	6/1/1984	8/15/2000

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

No License Renewal Information

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	106 S 2nd St P.O. Box 148Williamsburg, KY 40769
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(606) 549-5800