DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Coffman, Joshua Dwight	DOIID	579705	NAIC NPN	7917460

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	10/29/2003	10/31/2005
* 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	Lyndon Southern Insurance Company	609602	Agent - Limited Line Credit	9/29/2005	10/31/2005
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - Limited Line Credit	11/6/2003	10/31/2005
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	10/29/2003	10/31/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Farmers Deposit Bank Of Middleburg Inc	399990	Agent - Limited Line Credit	1/5/2004	1/12/2005