DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Citizens National Bank	DOIID	399088	NAIC NPN	7221383

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Mortgage Redemption	1/26/1995	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	10/11/2005
Inactive	Resident	Agent	Credit Life & Health	4/23/1993	8/7/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Credit Life & Health	4/23/1993	8/7/2000
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Limited Line Credit	8/7/2000	1/27/2005
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Limited Line Credit	8/7/2000	10/11/2005
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Mortgage Redemption	1/26/1995	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	11/24/1998	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/7/2000	10/10/2005
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	8/16/1993	12/1/1998

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Reynolds, Orvis Randolph	318912	Agent - Credit Life & Health	2/28/1986	8/7/2000
Inactive	Reynolds, Orvis Randolph	318912	Agent - Limited Line Credit	8/7/2000	10/10/2005