DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	King, Shirley Ruth	DOIID	348293	NAIC NPN	5939342

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/31/1997	3/31/2010
* 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	Forethought Life Insurance Company	301407	Agent - Life	12/31/1997	3/31/2010
Inactive	Homesteaders Life Company	300836	Agent - Life	11/13/2001	3/31/2010
Inactive	Southland National Insurance Corporation	517954	Agent - Life	2/15/2002	3/31/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Vankirk-Grisell Inc	548850	Agent - Life	4/25/2002	3/31/2003