DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Crooks, Tina S	DOIID	382647	NAIC NPN	7205723

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	8/15/2000	9/5/2005
Inactive	Resident	Agent	Life	8/9/2000	9/5/2005
Inactive	Resident	Agent	General Lines	11/16/1999	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	9/5/2005
Inactive	Resident	Agent	Health	12/7/2000	7/1/2006
* 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	State Farm Fire and Casualty Company	301809	Agent - Casualty	8/15/2000	8/18/2005
Inactive	State Farm Fire and Casualty Company	301809	Agent - General Lines	11/16/1999	8/15/2000
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	8/15/2000	8/18/2005
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	8/15/2000	8/18/2005
Inactive	State Farm General Insurance Company	301122	Agent - General Lines	11/16/1999	8/15/2000
Inactive	State Farm General Insurance Company	301122	Agent - Property	8/15/2000	8/18/2005
Inactive	State Farm Life Insurance Company	301810	Agent - Life	8/9/2000	8/18/2005
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	8/15/2000	8/18/2005
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - General Lines	11/16/1999	8/15/2000
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	12/7/2000	7/1/2006
Inactive	Time Insurance Company	300683	Agent - Health	2/24/2003	8/18/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kathy Goff Insurance Agency Inc.	400179	Agent - Life	2/24/2003	8/18/2005
Inactive	Kathy Goff Insurance Agency Inc.	400179	Agent - Health	12/7/2000	7/1/2006
Inactive	Kathy Goff Insurance Agency Inc.	400179	Agent - Property	2/24/2003	8/18/2005
Inactive	Kathy Goff Insurance Agency Inc.	400179	Agent - Casualty	2/24/2003	8/18/2005