DEPARTMENT OF INSURANCE

Name	Citizens State Bank	DOIID	399070	NAIC NPN	7221365

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Agent	Credit Life & Health	12/5/1991	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	5/5/2006

*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	359 Court Street Wickliffe, KY 42087