DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Farmers Deposit Bank	DOIID	398752	NAIC NPN	7221127

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	9/7/1993	7/8/1997
Inactive	Resident	Agent	Mortgage Redemption	1/16/1996	7/8/1997
* 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 - Mortgage Redemption	6/3/1996	7/8/1997
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Credit Life & Health	9/7/1993	4/5/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	12/7/1995	7/8/1997
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Mortgage Redemption	1/16/1996	7/8/1997

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Carpenter, George David	313626	Agent - Mortgage Redemption	1/16/1996	6/24/1996
Inactive	Fritz, Randall Vice	309192	Agent - Credit Life & Health	9/7/1993	7/8/1997
Inactive	Story, Billy Wayne	352024	Agent - Mortgage Redemption	1/16/1996	7/8/1997
Inactive	Wagoner, Lisa Kay	334304	Agent - Credit Life & Health	5/30/1996	7/8/1997