DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wilder, Patty A	DOIID	376525	NAIC NPN	7203052

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	3/30/1999	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	4/30/2013
* 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	CICA Life Insurance Company of America	600487	Agent - Limited Line Credit	1/1/2005	2/20/2007
Inactive	First Alliance Insurance Company	301000	Agent - Limited Line Credit	2/27/2002	1/1/2005
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	3/30/1999	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	4/30/2013
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	9/15/2008	4/30/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Citizen's Commerce National Bank	399274	Agent - Limited Line Credit	4/5/2004	4/30/2013