DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stambaugh, Randon Tanner	DOIID	671656	NAIC NPN	10144079

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	6/25/2015	9/30/2017
Inactive	Resident	Agent	Life	3/11/2008	10/1/2011
* 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	Empower Annuity Insurance Company of America	300259	Agent - Life	5/28/2008	4/27/2011
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/24/2015	5/26/2016
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	10/26/2010	5/4/2011
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	3/17/2008	4/23/2011
Inactive	Symetra Life Insurance Company	301691	Agent - Life	2/23/2010	5/10/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	3/19/2008	5/23/2011
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	3/5/2010	10/1/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Forcht Bank, NA	556805	Agent - Limited Line Credit	8/24/2015	5/26/2016
Inactive	U S Bancorp Ins Services L L C	400253	Agent - Life	3/17/2008	7/21/2011
Inactive	US Bancorp Investments, Inc.	572662	Agent - Life	3/17/2008	7/21/2011