DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Williamsburg National Bank	DOIID	398890	NAIC NPN	7221246

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	10/6/1994	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	3/31/2011
Inactive	Resident	Agent	Mortgage Redemption	3/2/1995	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 - Mortgage Redemption	3/6/1996	4/17/2000
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Limited Line Credit	8/7/2000	3/31/2011
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Mortgage Redemption	3/2/1995	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	7/21/2000	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	3/31/2011
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Mortgage Redemption	7/21/2000	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	11/24/1998	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/7/2000	3/31/2011
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	10/6/1994	12/1/1998

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Delk, Zemri Lee	302697	Agent - Limited Line Credit	1/23/2007	3/31/2011
Inactive	Jarboe, William Michael	500876	Agent - Limited Line Credit	1/23/2007	3/31/2011
Inactive	Medley, Bobby Terrell	317168	Agent - Credit Life & Health	10/6/1994	8/7/2000
Inactive	Medley, Bobby Terrell	317168	Agent - Limited Line Credit	8/7/2000	3/31/2011
Inactive	Medley, Bobby Terrell	317168	Agent - Mortgage Redemption	7/21/2000	8/7/2000
Inactive	Miller, Lisa S	389456	Agent - Credit Life & Health	7/21/2000	8/7/2000
Inactive	Miller, Lisa S	389456	Agent - Limited Line Credit	8/7/2000	5/10/2002