DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cole Ford Mercury Inc.	DOIID	398403	NAIC NPN	7220867

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	5/31/2003
Inactive	Resident	Agent	Credit Life & Health	8/8/1994	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	Bankers Life Insurance Company	301784	Agent - Credit Life & Health	5/8/1996	3/31/1997
Inactive	Federal Home Life Insurance Company	301302	Agent - Credit Life & Health	8/8/1994	5/8/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	4/17/1997	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	5/31/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Smallwood, Stephen Richard	388099	Agent - Credit Life & Health	4/17/1997	8/7/2000
Inactive	Smallwood, Stephen Richard	388099	Agent - Limited Line Credit	8/7/2000	5/31/2003
Inactive	Smoot, Gregory Jason	315497	Agent - Credit Life & Health	4/23/1998	8/7/2000
Inactive	Smoot, Gregory Jason	315497	Agent - Limited Line Credit	8/7/2000	5/31/2003
Inactive	Tyra, Robert E	305748	Agent - Credit Life & Health	8/8/1994	5/8/1996