DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Tri-County National Bank	DOIID	398274	NAIC NPN	7220784

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Mortgage Redemption	4/20/1995	8/7/2000
Inactive	Resident	Agent	Credit Life & Health	2/7/1995	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	2/1/2008
* 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	Fidelity Security Life Insurance Company	300466	Agent - Limited Line Credit	8/7/2000	2/1/2008
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Mortgage Redemption	4/20/1995	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	7/5/2000	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	2/1/2008
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Mortgage Redemption	7/5/2000	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	11/24/1998	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/7/2000	2/1/2008
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	2/7/1995	12/1/1998

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allen, Melody Ann	314566	Agent - Limited Line Credit	2/12/2004	2/1/2008
Inactive	Angel, Charlotte K	309477	Agent - Limited Line Credit	2/12/2004	10/31/2006
Inactive	Bowman, Ladonna A	331646	Agent - Credit Life & Health	7/5/2000	8/7/2000
Inactive	Bowman, Ladonna A	331646	Agent - Limited Line Credit	8/7/2000	6/30/2005
Denied	Bramlett, Phillip Bruce	371229	Agent - Limited Line Credit
Inactive	Bramlett, Phillip Bruce	371229	Agent - Mortgage Redemption	4/20/1995	8/7/2000
Inactive	Davidson, Leamon L	316788	Agent - Limited Line Credit	2/12/2004	2/1/2008
Inactive	Jasper, Chris M	340563	Agent - Credit Life & Health	2/7/1995	5/10/1999
Inactive	Payne, Angela Katherine	539255	Agent - Limited Line Credit	2/12/2004	5/31/2006
Inactive	Pugh, Terry Allen	352432	Agent - Limited Line Credit	2/12/2004	2/1/2008
Inactive	Romines, Harold D	535784	Agent - Limited Line Credit	2/12/2004	2/1/2008