DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Page, Dorlene H	DOIID	304875	NAIC NPN	7157793

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Debtors Life	8/16/1999	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	4/26/2017	1/31/2019
Inactive	Resident	Agent	Credit Life & Health	4/1/1998	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 - Limited Line Credit	6/19/2009	2/21/2017
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	12/30/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Debtors Life	8/16/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	4/7/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	4/1/1998	9/8/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First & Farmers Bank, Inc.	398166	Agent - Limited Line Credit	2/10/2003	3/31/2010
Inactive	First & Farmers National Bank Inc	701544	Agent - Limited Line Credit	6/4/2012	1/31/2017