DEPARTMENT OF INSURANCE

Name	Brunson, Nancy Jo	DOIID	363710	NAIC NPN	1450411

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	12/31/2011
Inactive	Non Resident	Agent	Property	8/15/2000	12/31/2011
Inactive	Non Resident	Agent	General Lines	12/31/1998	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	American Specialty Insurance & Risk Services, Inc 142 North Main Street P O Box 309Roanoke, IN 467830309
Mailing	5531 West 600 North Huntington, IN 46750
Residence	Not Public Information

Internet Information

Type	Address
Internet	www.amerspec.com

Phone Information

Type	Phone
Business / Home Office	(260) 672-8800