DEPARTMENT OF INSURANCE

Name	Tolley, Patricia Ann	DOIID	521712	NAIC NPN	7216471

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Adjuster	Independent	12/20/2006	3/18/2009
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	2/21/2001	8/20/2001
Active	Non Resident	Staff Adjuster	Property & Casualty	8/25/2011		12/31/2024	Kentucky

*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
Staff Adjuster	10/15/2024	12/31/2024

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
Residence	Not Public Information
Business / Home Office	American Modern Insurance Group 7000 Midland BlvdAmelia, OH 45102

Internet Information

Type	Address
Business Email	ttolley@amig.com

Phone Information

Type	Phone
Business / Home Office	(513) 947-5072
Fax	(513) 742-9185