DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Haitz, Mary Lynn	DOIID	316341	NAIC NPN	3948827

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Mortgage Redemption	11/21/1996	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	6/30/2004
Inactive	Resident	Agent	Credit Life & Health	11/21/1996	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	American Bankers Life Assurance Company of Florida	300171	Agent - Limited Line Credit	8/7/2000	12/12/2000
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Mortgage Redemption	2/27/1997	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	11/21/1996	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	6/30/2004
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Mortgage Redemption	11/21/1996	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	Pinnacle Bank, Inc	399751	Agent - Mortgage Redemption	12/11/1996	5/31/2000