DEPARTMENT OF INSURANCE

Name	First State Bank	DOIID	399995	NAIC NPN	7222077

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Agent	Mortgage Redemption	3/17/1994	4/29/1996
Inactive	Resident	Agent	Credit Life & Health	3/17/1994	5/9/1997

*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	P. O. Box 469 Manchester, KY 409620469