DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Tony	DOIID	354315	NAIC NPN	7193372

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	10/7/1987	3/26/1999
Inactive	Resident	Agent	General Lines	10/8/1987	3/26/1999
Inactive	Resident	Agent	Credit Life & Health	1/29/1996	3/26/1999
Inactive	Resident	Agent	Health	10/7/1987	3/26/1999
* 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	Bankers United Life Assurance Company	300296	Agent - Health	8/27/1992	12/17/1996
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	8/27/1992	12/17/1996
Inactive	Boston Old Colony Insurance Company	300720	Agent - General Lines	9/16/1988	3/31/1998
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	9/16/1988	3/26/1999
Inactive	Grange Insurance Company	300234	Agent - General Lines	10/8/1987	6/25/1998
Inactive	Grange Life Insurance Company	300128	Agent - Health	10/7/1987	6/25/1998
Inactive	Grange Life Insurance Company	300128	Agent - Life	10/7/1987	6/25/1998
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	1/29/1996	3/26/1999
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	6/24/1992	3/31/1998
Inactive	Principal Life Insurance Company	300129	Agent - Health	9/15/1992	3/26/1999
Inactive	Principal Life Insurance Company	300129	Agent - Life	9/15/1992	3/26/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Burkholder Company	400921	Agent - Life	2/29/1988	2/18/1999
Inactive	Burkholder Company	400921	Agent - Health	2/29/1988	2/18/1999
Inactive	Burkholder Company	400921	Agent - General Lines	2/29/1988	2/18/1999