DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dismore, Jaclyn Cook	DOIID	681887	NAIC NPN	10904349

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	6/2/2008	3/31/2011
* 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	American National Property and Casualty Company	300392	Agent - Limited Line Credit	8/14/2008	5/10/2011
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	6/2/2008	9/13/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hometown Loan Comapny, Inc	619613	Agent - Limited Line Credit	8/21/2008	3/31/2011