DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blevins, David T	DOIID	311783	NAIC NPN	7161006

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	8/31/2004
Inactive	Resident	Agent	Credit Life & Health	10/28/1999	8/7/2000
Inactive	Resident	Agent	Debtors Life	9/10/1999	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	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	12/2/2002	7/7/2004
Inactive	Southern Financial Life Insurance Company	300664	Agent - Debtors Life	9/10/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	4/26/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Peoples Security Bank of Louisa	398344	Agent - Credit Life & Health	10/28/1999	8/7/2000
Inactive	Peoples Security Bank of Louisa	398344	Agent - Limited Line Credit	8/7/2000	8/31/2004