Agency Information

HERITAGERM LLC

Address:

PO BOX 64790

LUBBOCK, TX 79464

Phone

806-792-5564

URL:

Email:

karen.crow@sanfordtatum.com

National Producer Number:

17838468

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3154765	04/28/2016	Active	04/28/2016	04/30/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/28/2016	Active	04/28/2016
Health	04/28/2016	Active	04/28/2016
Life	04/28/2016	Active	04/28/2016
Property	04/28/2016	Active	04/28/2016

Company Name	Appointment Type	Status	Active Date
1791
LEXON INSURANCE COMPANY	Casualty	Active	05/24/2016

row(s) 1 - 1 of 1

Name	Association Type	Agent	Begin Date	End Date
DIANNAH FAY TATUM	Designated Resp Lic Prdcr	Yes	09/15/2020	-
JEFF MONROE NEELY	Designated Resp Lic Prdcr	Yes	09/15/2020	-

1 - 2