DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ing, Arless Samuel	DOIID	313002	NAIC NPN	5934244

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Limited Line Credit	7/5/2013	12/31/2016
Inactive	Non Resident	Agent	Credit Life & Health	6/25/1999	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	Lyndon Southern Insurance Company	609602	Agent - Limited Line Credit	7/8/2013	12/31/2016
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	6/25/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	7/8/2013	12/31/2016
Inactive	Union Security Life Insurance Company	300903	Agent - Credit Life & Health	11/2/1999	8/7/2000
Inactive	Union Security Life Insurance Company	300903	Agent - Limited Line Credit	8/7/2000	11/8/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ABC Finance Co Inc 1	554796	Agent - Limited Line Credit	5/19/2015	12/31/2016