DEPARTMENT OF INSURANCE

Name	Forrest Sherer Inc	DOIID	546755	NAIC NPN	957867

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/23/2002	2/20/2018
Inactive	Non Resident	Agent	Health	8/25/2011	2/20/2018
Inactive	Non Resident	Agent	Life	8/25/2011	2/20/2018
Inactive	Non Resident	Agent	Property	8/23/2002	2/20/2018

*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.

Address Information

Type	Address
Business / Home Office	24 N. 6th St. Terre Haute, IN 47807

Internet Information

Type	Address
Business Email	jcossio@fsiinsurance.com - Bad Email-Correction requested
Internet	www.forrestsherer.com

Phone Information

Type	Phone
Business / Home Office	(812) 232-0441