DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Citizens National Bank	DOIID	400422	NAIC NPN	7222400

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Mortgage Redemption	4/10/1996	10/4/1999
Inactive	Resident	Agent	Credit Life & Health	3/24/1993	10/4/1999
* 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	3/24/1993	4/5/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	4/10/1996	10/4/1999
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Mortgage Redemption	4/10/1996	10/4/1999

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Burchett, Belinda P	305753	Agent - Credit Life & Health	4/10/1996	10/4/1999
Inactive	Burchett, Belinda P	305753	Agent - Mortgage Redemption	4/10/1996	10/4/1999
Inactive	Gilliam, Barbara D	325961	Agent - Credit Life & Health	12/23/1992	4/5/1996
Inactive	Rogers, Darrell Marques	387999	Agent - Mortgage Redemption	4/10/1996	9/23/1997