DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Perry, Dale Wayne	DOIID	351775	NAIC NPN	7192252

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	8/18/2003
Inactive	Resident	Agent	Credit Life & Health	3/15/1995	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	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	12/29/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	8/18/2003
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Credit Life & Health	3/15/1995	2/27/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Little River Inc.	399502	Agent - Credit Life & Health	2/4/1999	8/7/2000
Inactive	Little River Inc.	399502	Agent - Limited Line Credit	8/7/2000	2/20/2003
Inactive	Pennyrile Motor Company	401006	Agent - Credit Life & Health	3/30/1995	2/27/1998