DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burchett, Belinda P	DOIID	305753	NAIC NPN	7158196

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/13/1999	7/1/2002
Inactive	Resident	Agent	Mortgage Redemption	2/28/1996	8/7/2000
Inactive	Resident	Agent	Life	9/13/1999	7/1/2002
Inactive	Resident	Agent	Credit Life & Health	3/19/1993	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	6/30/2006
* 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	American General Assurance Company	300586	Agent - Health	9/13/1999	7/1/2002
Inactive	American General Assurance Company	300586	Agent - Life	9/13/1999	7/1/2002
Inactive	American General Assurance Company	300586	Agent - Limited Line Credit	6/21/2002	12/11/2002
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Credit Life & Health	3/19/1993	4/5/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	3/22/1996	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	6/30/2006
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Mortgage Redemption	3/22/1996	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	2/18/2003	11/7/2005
Inactive	Liberty Life Insurance Company	301542	Agent - Limited Line Credit	8/23/2001	7/1/2002
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	4/11/2001	3/19/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Limited Line Credit	8/7/2000	6/30/2006
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Mortgage Redemption	2/28/1996	8/7/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Citizens National Bank	400422	Agent - Mortgage Redemption	4/10/1996	10/4/1999
Inactive	Citizens National Bank	400422	Agent - Credit Life & Health	4/10/1996	10/4/1999