DEPARTMENT OF INSURANCE

Name	Shultz, Dale Randall	DOIID	623746	NAIC NPN	1453785

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	1/27/2006	4/30/2018
Inactive	Non Resident	Agent	Life	1/27/2006	4/30/2018
Inactive	Non Resident	Agent	Health	1/27/2006	4/30/2018
Inactive	Non Resident	Agent	Casualty	1/27/2006	4/30/2018

*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	Friendship Financial Services LLC 12926 Bank St P.O.Box 6Dillsboro, IN 47018
Mailing	P.O. Box 604 Aurora, IN 47001
Residence	Not Public Information

Internet Information

Type	Address
Business Email	dshultz@friendshipstatebank.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(877) 667-5101