DEPARTMENT OF INSURANCE

Name	Holmes, Terry	DOIID	642578	NAIC NPN	8866549

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	10/3/2016	6/30/2020
Inactive	Non Resident	Agent	Life	5/4/2018	6/30/2020
Inactive	Non Resident	Agent	Health	10/23/2006	6/30/2008
Active	Non Resident	Independent Adjuster	Workers' Compensation	11/17/2021		6/30/2024
Active	Non Resident	Independent Adjuster	Property & Casualty	11/17/2021		6/30/2024

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	04/15/2024	06/30/2024

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	6711 N 22nd St Tampa, FL 33610
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(501) 716-9309