DEPARTMENT OF INSURANCE

Name	Pruitt, Lisa Marie	DOIID	340447	NAIC NPN	7187231

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	4/29/2010		5/31/2027
Active	Resident	Agent	Limited Line Credit	8/28/2009		5/31/2027
Active	Resident	Agent	Life	4/29/2010		5/31/2027
Inactive	Resident	Agent	Credit Life & Health	7/5/2000	8/7/2000
Inactive	Resident	Agent	Credit Personal Property & Unemployment	5/16/1995	3/31/1999
Inactive	Resident	Agent	General Lines	8/9/1993	12/6/1999
Inactive	Resident	Agent	Mortgage Redemption	7/5/2000	8/7/2000

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

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2025	05/31/2025	04/09/2025	04/09/2025	Yes

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	Forcht Bank, Na 1405 E. BroadwayCampbellsville, KY 42718
Residence	Not Public Information

Internet Information

Type	Address
Business Email	lipruitt@forchtbank.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(270) 789-5685