DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hicks, Patsy A	DOIID	349395	NAIC NPN	7191146

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	2/22/2010	7/31/2013
Inactive	Resident	Agent	Life	12/8/1998	9/30/2003
Inactive	Resident	Agent	Credit Life & Health	3/19/1993	9/3/1998
* 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	Central States Health and Life Company of Omaha	301874	Agent - Life	5/13/2002	9/30/2003
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Credit Life & Health	3/19/1993	4/12/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	12/7/1995	2/28/1996
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/24/2003	9/30/2003
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	2/22/2010	7/31/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	1/24/1996	9/3/1998
Inactive	Western National Life Insurance Company	300461	Agent - Life	12/8/1998	9/30/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First State Bank	399995	Agent - Credit Life & Health	3/31/1993	5/8/1997
Inactive	Natcity Insurance Services Inc.	400871	Agent - Life	2/21/2003	9/30/2003