DEPARTMENT OF INSURANCE

Name	Smith, Brent Alan	DOIID	698032	NAIC NPN	2333603

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	1/27/2009	4/2/2018
Inactive	Non Resident	Agent	Casualty	1/27/2009	4/2/2018
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	8/19/2016	4/2/2018

*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
Residence	Not Public Information
Business / Home Office	Mag Mutual Insurance Company 3535 Piedmont Rd Ne Ste 1000Atlanta, GA 303051518

Phone Information

Type	Phone
Business / Home Office	(404) 842-5600