DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	First State Bank of Irvington, The	DOIID	622510	NAIC NPN	8676512

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Limited Line Credit	1/9/2006
* 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
Denied	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Butler, Donald C	377611	Agent - Limited Line Credit	1/9/2006	7/20/2009
Inactive	Monarch, Charles H	332054	Agent - Limited Line Credit	1/9/2006	7/20/2009