DEPARTMENT OF INSURANCE

Name	Mid America Dealer Service	DOIID	595861	NAIC NPN	8231443

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	12/19/2012	4/1/2014

*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	4220 Bardstown Rd Louisville, KY 40218

Internet Information

Type	Address
Internet	www.billcollinsFord.com

Phone Information

Type	Phone
Business / Home Office	(502) 459-9550