DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burton, Chad Edward	DOIID	305806	NAIC NPN	7158242

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/3/2002	7/1/2004
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	8/31/2004
Inactive	Resident	Agent	Health	6/21/2002	7/1/2004
Inactive	Resident	Agent	Credit Life & Health	9/20/1999	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	First Alliance Insurance Company	301000	Agent - Health	6/21/2002	3/8/2004
Inactive	First Alliance Insurance Company	301000	Agent - Life	6/3/2002	3/8/2004
Inactive	First Alliance Insurance Company	301000	Agent - Limited Line Credit	2/27/2002	3/8/2004
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	9/20/1999	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	7/1/2004
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	8/18/2003	7/1/2004
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	8/18/2003	7/1/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Citizen's Commerce National Bank	399274	Agent - Life	8/22/2002	4/5/2004
Inactive	Republic Bank & Trust Company	398358	Agent - Limited Line Credit	2/27/2004	7/1/2004