DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	First State Bank	DOIID	399995	NAIC NPN	7222077

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Mortgage Redemption	3/17/1994	4/29/1996
Inactive	Resident	Agent	Credit Life & Health	3/17/1994	5/9/1997
* 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	3/17/1994	4/29/1996
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Mortgage Redemption	3/17/1994	4/29/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	12/7/1995	2/28/1996
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	1/19/1996	5/9/1997

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Beckner, Linda Joyce	333839	Agent - Credit Life & Health	3/31/1993	3/31/1997
Inactive	Garrison, Sandra K	378356	Agent - Credit Life & Health	3/31/1993	3/31/1997
Inactive	Hicks, Patsy A	349395	Agent - Credit Life & Health	3/31/1993	5/8/1997
Inactive	Keith, Kateina B	366895	Agent - Credit Life & Health	3/31/1993	4/12/1996
Inactive	Melton, Ernestine	320613	Agent - Credit Life & Health	3/31/1993	5/9/1997
Inactive	Rice, Becky	323330	Agent - Credit Life & Health	3/31/1993	5/9/1997
Inactive	Wagers, Linda K	386841	Agent - Credit Life & Health	3/31/1993	3/31/1997