DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Farmers State Bank	DOIID	399392	NAIC NPN	7221612

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	1/10/1995	8/7/2000
Inactive	Resident	Agent	Mortgage Redemption	11/27/1995	8/7/2000
Pending	Resident	Agent	Limited Line Credit
* 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	Fidelity Security Life Insurance Company	300466	Agent - Limited Line Credit	8/7/2000	11/4/2008
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Mortgage Redemption	11/27/1995	8/7/2000
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Credit Life & Health	1/10/1995	3/29/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	12/10/2004	3/31/2023
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	9/10/2019	3/31/2023
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	1/12/1996	3/31/1999

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Burgess, Larry Wayne	347609	Agent - Limited Line Credit	1/23/2007	8/31/2015
Pending	Burns, Mindy	1232922	Agent - Limited Line Credit
Inactive	Marshall, Angela B	355539	Agent - Credit Life & Health	1/10/1995	8/7/2000
Inactive	Marshall, Angela B	355539	Agent - Limited Line Credit	8/7/2000	10/31/2021
Inactive	Moore, Judy Lee	379759	Agent - Credit Life & Health	1/10/1995	8/7/2000
Inactive	Moore, Judy Lee	379759	Agent - Limited Line Credit	1/26/2022	3/31/2023