DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burch, Daryl E	DOIID	307097	NAIC NPN	7158825

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	4/19/1996	8/11/1997
Inactive	Resident	Agent	Credit Life & Health	3/27/1995	1/23/1998
* 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	Alexander Hamilton Life Insurance Co. of America	301779	Agent - Life	6/6/1996	8/11/1997
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	3/27/1995	1/23/1998
Inactive	Western National Life Insurance Company	300461	Agent - Life	4/19/1996	7/21/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Great Financial Services Inc.	399202	Agent - Life	4/29/1996	8/11/1997