DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Triplett, Ton'ya Michelle	DOIID	385788	NAIC NPN	2191792

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	2/7/2001
Inactive	Resident	Agent	Credit Life & Health	4/18/1998	1/20/1999
Inactive	Resident	Agent	Mortgage Redemption	8/4/1998	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	Liberty Life Insurance Company	301542	Agent - Limited Line Credit	8/7/2000	2/7/2001
Inactive	Liberty Life Insurance Company	301542	Agent - Mortgage Redemption	8/4/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/14/1998	1/20/1999
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	4/18/1998	9/9/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	MidAmerica Investment Services, Inc.	400939	Agent - Credit Life & Health	4/18/1998	12/15/1998