DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mountford, Larry Simcox	DOIID	378446	NAIC NPN	7203906

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	7/12/1994	3/31/1999
Inactive	Resident	Agent	Limited Line Credit	12/19/2007	12/31/2008
* 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 National Property and Casualty Company	300392	Agent - Limited Line Credit	3/12/2008	12/31/2008
Inactive	Arch Insurance Company	300688	Agent - Limited Line Credit	1/10/2008	12/31/2008
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	7/12/1994	3/31/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dealers' Financial Services, LLC	400168	Agent - Credit Life & Health	3/13/1996	3/31/1999
Inactive	Dealers' Financial Services, LLC	400168	Agent - Limited Line Credit	1/10/2008	12/31/2008
Inactive	Don Jacobs Motor Cars Inc.	398372	Agent - Credit Life & Health	8/8/1994	3/31/1999
Inactive	Don Jacobs Oldsmobile Inc	400946	Agent - Credit Life & Health	8/8/1994	3/31/1999
Inactive	Don Jacobs Used Cars	400350	Agent - Credit Life & Health	8/8/1994	3/2/1998