DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Tillman, Vance Randall	DOIID	607221	NAIC NPN	8098528

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/19/2005	7/16/2013
Inactive	Non Resident	Agent	Limited Line Credit	5/25/2005	7/16/2013
Inactive	Non Resident	Agent	Casualty	4/19/2005	7/16/2013
* 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	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/19/2005	7/16/2013
Inactive	Sentruity Casualty Company	741654	Agent - Casualty	12/30/2010	2/28/2012
Inactive	Transamerica Casualty Insurance Company	300311	Agent - Casualty	7/22/2005	3/23/2012
Inactive	Transamerica Casualty Insurance Company	300311	Agent - Property	7/22/2005	3/23/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	GS Administrators Inc	607451	Agent - Property	7/22/2005	2/11/2013
Inactive	GS Administrators Inc	607451	Agent - Casualty	7/22/2005	2/11/2013
Inactive	GS Administrators Inc	607451	Agent - Limited Line Credit	8/19/2005	7/16/2013