DEPARTMENT OF INSURANCE

Name	Churchill Insurance Agency Inc.	DOIID	400358	NAIC NPN	7222347

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	4/22/2002
Inactive	Resident	Agent	Credit Life & Health	9/13/1982	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	Attn Charles Scott P. O. Box 36000Louisville, KY 402336000