DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bank of Clinton County	DOIID	399743	NAIC NPN	7221892

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Mortgage Redemption	5/31/1995	8/7/2000
Inactive	Resident	Agent	Credit Life & Health	1/17/1995	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	3/29/2002
* 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	3/29/2002
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Mortgage Redemption	5/31/1995	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	3/29/2002
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	1/17/1995	12/1/1998

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Baker, Gary L	374004	Agent - Credit Life & Health	1/17/1995	8/7/2000
Inactive	Baker, Gary L	374004	Agent - Limited Line Credit	8/7/2000	3/29/2002
Inactive	Choate, Kathy Clark	334749	Agent - Credit Life & Health	5/31/1995	8/7/2000
Inactive	Choate, Kathy Clark	334749	Agent - Limited Line Credit	8/7/2000	7/2/2001