DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Farmers National Bank	DOIID	399416	NAIC NPN	7221635

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	6/3/1994	7/15/1997
Inactive	Resident	Agent	Mortgage Redemption	7/3/1990	7/15/1997
* 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	Franklin Life Insurance Company (The)	300779	Agent - Credit Life & Health	6/3/1994	4/5/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	12/7/1995	7/15/1997
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Mortgage Redemption	12/7/1995	7/15/1997
Inactive	Liberty Life Insurance Company	301542	Agent - Mortgage Redemption	7/3/1990	7/15/1997
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Mortgage Redemption	1/16/1996	7/15/1997

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hamlin, Ruth	343714	Agent - Credit Life & Health	5/30/1994	7/15/1997
Inactive	Parks, Charolette Ann	332106	Agent - Mortgage Redemption	1/16/1996	7/15/1997
Inactive	Sharpe, Michael Dale	306516	Agent - Mortgage Redemption	1/16/1996	7/15/1997