DEPARTMENT OF INSURANCE

Name	Sackett, Matthew T	DOIID	500061	NAIC NPN	1494683

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	1/31/2019
Inactive	Non Resident	Agent	Property	8/15/2000	1/31/2019
Inactive	Non Resident	Agent	General Lines	2/4/2000	8/15/2000
Inactive	Non Resident	Agent	Life	12/10/2010	1/31/2019
Inactive	Non Resident	Agent	Health	12/10/2010	1/31/2019
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	5/16/2008	6/9/2016

*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	1502 Magnavox Way Ste 250 Fort Wayne, IN 468041555
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(260) 366-6874