DEPARTMENT OF INSURANCE

Affiliations

Name	First Southern National Bank	DOIID	398361	NAIC NPN	7220834

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Mortgage Redemption	3/30/1992	5/15/1996
Inactive	Resident	Agent	Credit Life & Health	6/21/1995	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	6/11/2002	8/1/2021
* 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	American General Assurance Company	300586	Agent - Limited Line Credit	12/8/2006	12/31/2008
Inactive	American Heritage Life Insurance Company	300272	Agent - Credit Life & Health	6/21/1995	1/9/1997
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	5/15/1996	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	6/11/2002	3/18/2020
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Mortgage Redemption	3/30/1992	5/15/1996

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Adams, James Woods	563436	Agent - Limited Line Credit	1/26/2009	3/16/2018
Inactive	Akers, Arnold Ray	593255	Agent - Limited Line Credit	1/26/2009	10/31/2016
Inactive	Alford, Robert Charles	365251	Agent - Limited Line Credit	1/26/2009	5/31/2021
Inactive	Baker, Diane T	333876	Agent - Credit Life & Health	6/20/1995	1/9/1997
Inactive	Ball, John Russell	336912	Agent - Credit Life & Health	7/10/1990	8/7/2000
Inactive	Ball, John Russell	336912	Agent - Limited Line Credit	8/7/2000	5/6/2002
Inactive	Brainard, John Correll	364726	Agent - Credit Life & Health	7/10/1990	8/7/2000
Inactive	Brainard, John Correll	364726	Agent - Limited Line Credit	8/7/2000	5/6/2002
Inactive	Brown, Joe E	385899	Agent - Credit Life & Health	6/20/1995	8/7/2000
Inactive	Brown, Joe E	385899	Agent - Limited Line Credit	8/7/2000	5/6/2002
Inactive	Clark, William R	347138	Agent - Credit Life & Health	6/20/1995	8/7/2000
Inactive	Clark, William R	347138	Agent - Limited Line Credit	8/7/2000	5/6/2002
Inactive	Dailey, McKinley Broaddus	355619	Agent - Credit Life & Health	7/10/1990	8/7/2000
Inactive	Dailey, McKinley Broaddus	355619	Agent - Limited Line Credit	1/26/2009	7/31/2011
Inactive	Davis, Tommy Joe	325849	Agent - Limited Line Credit	1/26/2009	9/30/2016
Inactive	Hopper, Timothy D	585434	Agent - Limited Line Credit	1/26/2009	6/22/2020
Inactive	Lucas, Kenneth M	353817	Agent - Limited Line Credit	1/26/2009	9/30/2016
Inactive	Major, Monty Clay	659730	Agent - Limited Line Credit	1/26/2009	9/30/2011
Inactive	Norton, Kenneth Daryl	325530	Agent - Limited Line Credit	1/26/2009	10/31/2010
Inactive	Sowder, Bill D	506993	Agent - Limited Line Credit	1/26/2009	2/29/2012
Inactive	Swaim, John R	337074	Agent - Limited Line Credit	6/11/2002	1/15/2009
Inactive	Taylor, Michael Wayne	502160	Agent - Limited Line Credit	3/6/2003	6/30/2004
Inactive	Vaught, Dennis Eugene	320622	Agent - Credit Life & Health	6/20/1995	8/7/2000
Inactive	Vaught, Dennis Eugene	320622	Agent - Limited Line Credit	8/7/2000	5/6/2002
Inactive	Worley, Nancy C	352792	Agent - Limited Line Credit	1/26/2009	2/29/2020