DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mitcham, Carl Dwayne	DOIID	328197	NAIC NPN	7175249

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	8/21/1987	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	2/29/2004
Inactive	Resident	Agent	Debtors Life	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	Franklin Life Insurance Company (The)	300779	Agent - Credit Life & Health	10/24/1994	3/28/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	8/21/1987	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	2/29/2004
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/28/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Debtors Life	9/20/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	8/5/2002
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	5/6/1993	9/22/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Farmers Bancshares Inc.	399468	Agent - Credit Life & Health	10/21/1994	8/7/2000
Inactive	Farmers Bancshares Inc.	399468	Agent - Limited Line Credit	8/7/2000	2/27/2003