DEPARTMENT OF INSURANCE

Name	Tackett, Belinda S	DOIID	377356	NAIC NPN	1866293

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	7/19/1995	8/15/2000
Pending Replacement	Resident	Agent	Casualty	5/31/2013		5/31/2024
Pending Replacement	Resident	Agent	Health	5/31/2013		5/31/2024
Pending Replacement	Resident	Agent	Life	5/31/2013		5/31/2024
Pending Replacement	Resident	Agent	Property	5/31/2013		5/31/2024

*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	03/15/2024	05/31/2024

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
Business / Home Office	3613 Dorton Jenkins Hw Jenkins, KY 41537
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(606) 639-9722