DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith Jr, Thomas G	DOIID	393209	NAIC NPN	1932230

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/2/1996	10/31/2004
* 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	Delaware Life Insurance Company	301256	Agent - Life	12/2/1996	2/13/2004
Inactive	Sage Life Assurance of America Inc.	301274	Agent - Life	2/7/2000	3/31/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Uvest Financial Serv Group Inc.	400567	Agent - Life	12/20/1996	2/14/2003