DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	First Southern National Bank of Fayette County	DOIID	398362	NAIC NPN	7220835

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Mortgage Redemption	3/30/1992	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	5/6/2002
Inactive	Resident	Agent	Credit Life & Health	3/30/1992	8/7/2000
* 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	American Heritage Life Insurance Company	300272	Agent - Credit Life & Health	9/19/1995	1/17/1997
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	3/30/1992	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	5/6/2002
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Mortgage Redemption	3/30/1992	8/7/2000

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	New, Lisa Reed	344557	Agent - Credit Life & Health	6/13/1990	8/7/2000
Inactive	New, Lisa Reed	344557	Agent - Limited Line Credit	8/7/2000	5/6/2002
Inactive	Vaught, Dennis Eugene	320622	Agent - Credit Life & Health	2/19/1991	8/7/2000
Inactive	Vaught, Dennis Eugene	320622	Agent - Limited Line Credit	8/7/2000	5/6/2002