DEPARTMENT OF INSURANCE

Name	Rebsamen Insurance/Fort Smith, Inc.	DOIID	546763	NAIC NPN	1651506

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Casualty	7/2/2004	3/9/2006
Inactive	Non Resident	Agent	Property	7/2/2004	3/9/2006

*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	620 S 21st St. PO Box 1585Fort Smith, AR 72901

Internet Information

Type	Address
Business Email	judyenglehart@rebsamen.com
Internet	www.rebsamen.com

Phone Information

Type	Phone
Business / Home Office	(501) 785-5222