DEPARTMENT OF INSURANCE

Name	Citizens Bank	DOIID	399386	NAIC NPN	7221606

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	3/31/2021
Inactive	Resident	Agent	Credit Life & Health	2/10/1995	8/7/2000

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	1021 S. Main St. Hartford, KY 42347

Internet Information

Type	Address
Internet	www.citizenshartland.com

Phone Information

Type	Phone
Business / Home Office	(270) 298-7429