DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stacy Chrysler Inc.	DOIID	398280	NAIC NPN	7220789

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	4/26/1996	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	4/15/2004	8/16/2004
* 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	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	1/16/2001	6/6/2003
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	1/12/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	1/16/2001
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	4/26/1996	1/12/1999

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Harrington, John	338745	Agent - Credit Life & Health	1/12/1999	8/7/2000
Inactive	Harrington, John	338745	Agent - Limited Line Credit	8/7/2000	3/6/2003
Inactive	Peach, P J	302565	Agent - Limited Line Credit	1/16/2001	3/6/2003
Inactive	Peak, Lisa Diane	382498	Agent - Credit Life & Health	1/12/1999	8/7/2000
Inactive	Peak, Lisa Diane	382498	Agent - Limited Line Credit	8/7/2000	1/16/2001
Inactive	Stacy, Jeremy Scott	383350	Agent - Credit Life & Health	4/26/1996	8/12/1996
Inactive	Stacy, Jeremy Scott	383350	Agent - Limited Line Credit	4/15/2004	8/16/2004
Inactive	Watson, Joe Edward	382089	Agent - Credit Life & Health	4/26/1996	8/12/1996
Inactive	Whitt, Robert Thomas	392666	Agent - Limited Line Credit	3/6/2003	6/6/2003