DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Sandra K	DOIID	377940	NAIC NPN	7203677

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	6/21/1996	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	7/31/2004
* 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	Heritage Life Insurance Company	300081	Agent - Credit Life & Health	6/21/1996	3/31/1997
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	7/13/2000	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	7/31/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Tri County Ford-Mercury Inc.	400384	Agent - Credit Life & Health	6/24/1996	3/17/1997