DEPARTMENT OF INSURANCE

Name	Hornsby, Jeffery	DOIID	600518	NAIC NPN	8196261

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Adjuster	Independent	2/21/2005	11/26/2006
Inactive	Resident	Apprentice Adjuster	Not Applicable	12/28/2004	2/21/2005
Active	Non Resident	Staff Adjuster	Property & Casualty	1/20/2023		11/30/2024	North Carolina

*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	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	Amerisure Insurance 26777 Halsted RdFarmington Hills, MI 48331
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(404) 531-3435