DEPARTMENT OF INSURANCE

Name	Sandlin, Marty Calvin	DOIID	352851	NAIC NPN	7192686

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	7/27/2009		10/31/2024
Active	Resident	Agent	Casualty	7/27/2009		10/31/2024
Inactive	Resident	Agent	Health	7/20/1989	4/15/2002
Inactive	Resident	Agent	General Lines	11/10/1993	8/15/2000
Inactive	Resident	Agent	Life	7/20/1989	4/15/2002

*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	08/15/2024	10/31/2024

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
Mailing	150 Ridgeway Drive East Elizabethtown, KY 42701
Business / Home Office	1151 West Knable Rd Georgetown, IN 47122
Residence	Not Public Information

Internet Information

Type	Address
Business Email	r316@claytonhomes.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(812) 923-8887