DEPARTMENT OF INSURANCE

Affiliations

Name	Independence Financial Inc.	DOIID	399810	NAIC NPN	7221953

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	5/31/2004
Inactive	Resident	Agent	Credit Life & Health	6/17/1994	3/31/1997
Inactive	Resident	Agent	Credit Personal Property & Unemployment	9/22/1995	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 Modern Home Insurance Company	300791	Agent - Credit Personal Property & Unemployment	9/22/1995	8/7/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Limited Line Credit	8/7/2000	5/31/2004
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	6/17/1994	3/31/1997

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Burns, Christy A	321160	Agent - Credit Personal Property & Unemployment	9/22/1995	2/24/1997
Inactive	Charles, Lucinda Gail	352064	Agent - Credit Personal Property & Unemployment	9/22/1995	8/12/1996
Inactive	Ginter, Diana Renee	353385	Agent - Credit Personal Property & Unemployment	9/22/1995	8/7/2000
Inactive	Ginter, Diana Renee	353385	Agent - Limited Line Credit	8/7/2000	5/31/2004
Inactive	Hensley, Rick Clay	356952	Agent - Credit Personal Property & Unemployment	9/22/1995	2/21/1997
Inactive	Jackson, Lonnie Michael	338692	Agent - Credit Personal Property & Unemployment	9/22/1995	8/23/1996
Inactive	Jones, Rhonda C	372953	Agent - Credit Life & Health	9/22/1995	8/7/2000
Inactive	Jones, Rhonda C	372953	Agent - Credit Personal Property & Unemployment	9/22/1995	8/7/2000
Inactive	Jones, Rhonda C	372953	Agent - Limited Line Credit	8/7/2000	5/31/2004
Inactive	Lawson, John Edward	332809	Agent - Credit Life & Health	9/22/1995	8/7/2000
Inactive	Lawson, John Edward	332809	Agent - Credit Personal Property & Unemployment	9/22/1995	8/7/2000
Inactive	Lawson, John Edward	332809	Agent - Limited Line Credit	8/7/2000	12/31/2003
Inactive	McClanahan, Teresa Gail	306660	Agent - Credit Life & Health	6/17/1994	2/29/1996
Inactive	Morris, Phil	332582	Agent - Credit Life & Health	9/22/1995	3/31/1998
Inactive	Morris, Phil	332582	Agent - Credit Personal Property & Unemployment	9/22/1995	3/31/1998
Inactive	Orme, Henry Thomas	380209	Agent - Credit Life & Health	9/22/1995	8/7/2000
Inactive	Orme, Henry Thomas	380209	Agent - Credit Personal Property & Unemployment	9/22/1995	8/7/2000
Inactive	Orme, Henry Thomas	380209	Agent - Limited Line Credit	8/7/2000	8/14/2002
Inactive	Quinn, Lois V	387212	Agent - Credit Personal Property & Unemployment	9/22/1995	2/24/1997
Inactive	Simpson, William C	318063	Agent - Credit Personal Property & Unemployment	9/22/1995	2/24/1997
Inactive	Toy, Mark E	352487	Agent - Credit Life & Health	9/22/1995	8/7/2000
Inactive	Toy, Mark E	352487	Agent - Credit Personal Property & Unemployment	9/22/1995	8/7/2000
Inactive	Toy, Mark E	352487	Agent - Limited Line Credit	8/7/2000	5/31/2004