DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burris, Michael D	DOIID	355196	NAIC NPN	1493343

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	3/23/2001	2/29/2008
Inactive	Resident	Agent	Credit Life & Health	7/2/1996	12/31/1998
* 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	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	3/23/2001	2/29/2008
Inactive	Protective Life Insurance Company	300638	Agent - Credit Life & Health	7/2/1996	12/31/1998
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	9/29/2003	7/8/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bob Montgomery Chevrolet Honda Inc	399428	Agent - Limited Line Credit	7/26/2002	2/29/2008