DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Taylor, Collin Brentley	DOIID	608581	NAIC NPN	8471259

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	4/4/2007	5/1/2012
Inactive	Resident	Agent	Limited Line Credit	5/11/2005	3/23/2012
* 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	American Modern Life Insurance Company	301606	Agent - Limited Line Credit	7/21/2005	1/27/2012
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	12/1/2009	5/1/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	2/1/2011	5/1/2012
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	10/26/2010	1/23/2012
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	4/12/2007	1/25/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	4/10/2007	2/22/2012
Inactive	Western National Life Insurance Company	300461	Agent - Life	4/10/2007	3/23/2012
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	3/2/2010	5/1/2012

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	6/3/2008	2/21/2012
Inactive	US Bancorp Investments, Inc.	572662	Agent - Life	4/13/2007	2/21/2012