DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Citizens Bank	DOIID	398167	NAIC NPN	7220688

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	6/4/1998	12/1/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	2/17/2004
Inactive	Resident	Agent	Life	6/4/1998	12/1/2000
Inactive	Resident	Agent	Credit Life & Health	12/5/1994	8/7/2000
Inactive	Resident	Agent	Mortgage Redemption	6/21/1996	8/7/2000
Inactive	Resident	Agent	Property	8/15/2000	2/17/2004
Inactive	Resident	Agent	Casualty	8/15/2000	2/17/2004
Inactive	Resident	Agent	General Lines	4/6/1998	8/15/2000
* 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	BancInsure, Inc.	301707	Agent - Casualty	8/15/2000	1/6/2003
Inactive	BancInsure, Inc.	301707	Agent - General Lines	4/6/1998	8/15/2000
Inactive	BancInsure, Inc.	301707	Agent - Property	8/15/2000	1/6/2003
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Credit Life & Health	12/5/1994	4/4/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	6/21/1996	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	2/17/2004
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Mortgage Redemption	6/21/1996	8/7/2000
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	6/4/1998	12/1/2000
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	6/4/1998	12/1/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/16/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	7/17/2001
Inactive	Southern Financial Life Insurance Company	300664	Agent - Mortgage Redemption	9/16/1998	8/7/2000
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	11/14/1996	9/9/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Mortgage Redemption	11/14/1996	9/9/1998

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Daniel, Gardner E	357351	Agent - Credit Life & Health	4/22/1996	8/7/2000
Inactive	Daniel, Gardner E	357351	Agent - Limited Line Credit	8/7/2000	2/17/2003
Inactive	De Hart, Robert Mark	336446	Agent - Credit Life & Health	12/5/1994	4/4/1996
Inactive	Gabbard, Larry Joe	322897	Agent - Health	6/4/1998	12/1/2000
Inactive	Gabbard, Larry Joe	322897	Agent - Life	6/4/1998	12/1/2000
Inactive	Ginter, Dwain Allen	307116	Agent - Credit Life & Health	12/5/1994	4/4/1996
Inactive	McMahan, Daniel Wayne	345902	Agent - Casualty	8/15/2000	1/6/2003
Inactive	McMahan, Daniel Wayne	345902	Agent - General Lines	4/6/1998	8/15/2000
Inactive	McMahan, Daniel Wayne	345902	Agent - Property	8/15/2000	1/6/2003