DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Jeremy Trent	DOIID	504991	NAIC NPN	7211819

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	3/31/2004
Inactive	Resident	Agent	Credit Life & Health	5/16/2000	8/7/2000
Inactive	Resident	Agent	Life	4/5/2007	2/1/2010
* 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	New York Life Insurance and Annuity Corporation	300726	Agent - Life	4/26/2007	2/1/2010
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	5/16/2000	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	3/31/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	4/30/2007	2/1/2010
Inactive	Western National Life Insurance Company	300461	Agent - Life	4/25/2007	2/1/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	U S Bancorp Ins Services L L C	400253	Agent - Life	4/25/2007	3/15/2010
Inactive	US Bancorp Investments, Inc.	572662	Agent - Life	4/25/2007	3/15/2010