New Mexico Corporations Bureau / OFFICE OF SUPERINTENDENT OF INSURANCE Producer Licensing Bureau Business Entity Affiliation / State’s Office / Limited Liability Partnership LINE OF AUTHORITY / NASD / / /
Position
Director of that jurisdiction / director a party / insurance regulatory official / officer / director / National Producer / Foreign Country Designated/Responsible Licensed Producer / Insurance Producer Licensing Bureau Please / Commissioner / Director / director / manager / cashier / Director of Insurance / director for overdue monies / Commissioner / Name ____________________________________________________Official / appropriate representative / Designated/Responsible Licensed Producer / Secretary / producer / officer / Secretary of State / Superintendent / judge / director of the business entity / /