DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jefferson IV, Thomas Harper	DOIID	357082	NAIC NPN	7194572

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Limited Line Credit
Inactive	Resident	Agent	Credit Life & Health	6/7/1993	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	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	11/24/1998	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	5/3/2004	4/20/2009
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	10/22/1997	12/1/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	6/7/1993	5/11/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Conrad Vans Inc.	398568	Agent - Credit Life & Health	1/12/1994	5/11/1998
Inactive	Don Jacobs Used Car Center, LLC	590462	Agent - Limited Line Credit	6/1/2004	4/20/2009
Inactive	Don Jacobs Used Cars	400350	Agent - Credit Life & Health	8/10/1998	8/7/2000
Inactive	Don Jacobs Used Cars	400350	Agent - Limited Line Credit	8/7/2000	9/26/2003