DEPARTMENT OF INSURANCE

Name	Bolton, Jerry Wayne	DOIID	565191	NAIC NPN	7549870

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Adjuster	Independent	12/10/2003	7/1/2010
Inactive	Non Resident	Agent	Casualty	3/3/2003	6/15/2012
Inactive	Non Resident	Agent	Property	3/3/2003	6/15/2012
Inactive	Resident	Apprentice Adjuster	Not Applicable	8/14/2003	12/10/2003
Inactive	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010	8/31/2018

*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. 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	21122 N Manchester Rd Sunman, IN 470419694
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(513) 276-6902