DEPARTMENT OF INSURANCE

Name	Baeza, Tarrah Lee	DOIID	704069	NAIC NPN	13620716

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Personal Lines	4/17/2009	10/31/2013
Inactive	Non Resident	Agent	Casualty	10/28/2020	10/31/2021
Inactive	Non Resident	Agent	Property	10/28/2020	10/31/2021

*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	4633 Zion Dr Greeley, CO 806349102
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(800) 328-7305