DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Story, Charles Steven	DOIID	302268	NAIC NPN	7156693

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/16/2007	11/30/2008
Inactive	Resident	Agent	Credit Life & Health	10/3/1994	8/7/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	10/7/1998	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/16/2007	11/30/2008
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	12/28/1998	1/25/1999
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	10/3/1994	12/28/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Citizens State Bank	399070	Agent - Credit Life & Health	10/30/1998	8/7/2000
Inactive	Citizens State Bank	399070	Agent - Limited Line Credit	8/7/2000	5/5/2006