DEPARTMENT OF INSURANCE

Name	Southard, Thomas Moore	DOIID	336962	NAIC NPN	7185740

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	7/26/1994	12/1/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	2/28/2011
Inactive	Resident	Agent	Credit Life & Health	6/6/2000	8/7/2000
Inactive	Resident	Agent	Health	7/26/1994	12/1/2000

*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. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	First United Bank & Trust Co P.O. Box 1190 162 N Main StMadisonville, KY 42431
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(270) 824-1608