DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burt, David R	DOIID	376555	NAIC NPN	7203074

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	7/25/2012	7/31/2018
Inactive	Resident	Agent	Credit Life & Health	9/5/1995	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	American Heritage Life Insurance Company	300272	Agent - Credit Life & Health	9/5/1995	1/9/1997
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	3/15/1996	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	7/31/2006
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	7/30/2012	7/31/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Farmers Capital Ins Corporation	399913	Agent - Limited Line Credit	9/7/2017	8/15/2018
Inactive	United Bank & Trust Co.	398198	Agent - Limited Line Credit	6/21/2013	7/31/2018