DEPARTMENT OF INSURANCE

Affiliations

Name	Talbot Financial Services Inc.	DOIID	399324	NAIC NPN	2510176

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	6/26/2002	4/6/2006
Inactive	Non Resident	Agent	Health	5/24/2002	4/6/2006
Inactive	Non Resident	Agent	Life	8/30/1999	4/6/2006
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Symetra Life Insurance Company	301691	Agent - Health	5/24/2002	4/6/2006
Inactive	Symetra Life Insurance Company	301691	Agent - Life	8/30/1999	4/6/2006
Inactive	Symetra Life Insurance Company	301691	Agent - Variable Life and Variable Annuities	6/26/2002	4/6/2006

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cebula, Connie C	510116	Agent - Health	5/24/2002	12/28/2004
Inactive	Cebula, Connie C	510116	Agent - Life	6/29/2001	12/28/2004
Inactive	Cebula, Connie C	510116	Agent - Variable Life and Variable Annuities	6/26/2002	12/28/2004
Inactive	Howard, Norman Jay	523105	Agent - Life	6/29/2001	1/21/2005
Inactive	Howard, Norman Jay	523105	Agent - Variable Life and Variable Annuities	6/26/2002	12/28/2004
Inactive	Scott, Daniel G	510675	Agent - Health	1/21/2005	4/6/2006
Inactive	Scott, Daniel G	510675	Agent - Life	1/21/2005	4/6/2006
Inactive	Scott, Daniel G	510675	Agent - Variable Life and Variable Annuities	1/21/2005	4/6/2006