DEPARTMENT OF INSURANCE

Name	First Southern National Bank	DOIID	398361	NAIC NPN	7220834

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Limited Line Credit	6/11/2002	8/1/2021
Inactive	Resident	Agent	Mortgage Redemption	3/30/1992	5/15/1996
Inactive	Resident	Agent	Credit Life & Health	6/21/1995	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	P O Box 628 27 Park SquareLancaster, KY 40444