DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bardwell Deposit Bank	DOIID	400882	NAIC NPN	7222723

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Mortgage Redemption	4/25/1997	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/5/2005	3/31/2007
Inactive	Resident	Agent	Credit Life & Health	10/25/1996	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	Fidelity Security Life Insurance Company	300466	Agent - Limited Line Credit	8/7/2000	5/31/2005
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Mortgage Redemption	4/25/1997	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	5/9/2005
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	10/25/1996	12/1/1998
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/23/2005	3/31/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dixon, Casey	589010	Agent - Limited Line Credit	1/14/2005	5/31/2005
Inactive	Hook, Carolyn L	329011	Agent - Credit Life & Health	10/26/1996	8/7/2000
Inactive	Hook, Carolyn L	329011	Agent - Limited Line Credit	8/7/2000	9/26/2003
Inactive	Hudgens, Nettie Jane	321182	Agent - Credit Life & Health	10/25/1996	8/7/2000
Inactive	Hudgens, Nettie Jane	321182	Agent - Limited Line Credit	8/7/2000	2/12/2001
Inactive	Hunt, Phillip E	317605	Agent - Credit Life & Health	10/25/1996	8/7/2000
Inactive	Hunt, Phillip E	317605	Agent - Limited Line Credit	8/7/2000	2/12/2001
Inactive	Ivey, James P	520432	Agent - Limited Line Credit	8/5/2005	3/31/2007
Inactive	Payne, James William	392903	Agent - Credit Life & Health	10/25/1996	8/7/2000
Inactive	Payne, James William	392903	Agent - Limited Line Credit	8/5/2005	2/28/2006
Inactive	Strickland, Robert Allen	583264	Agent - Limited Line Credit	8/5/2005	3/31/2007
Inactive	Todd, Sammy C	348573	Agent - Credit Life & Health	10/25/1996	8/7/2000
Inactive	Todd, Sammy C	348573	Agent - Limited Line Credit	8/7/2000	3/4/2002
Inactive	Wilson, J Alan	379352	Agent - Credit Life & Health	4/25/1997	12/1/1998