Statewide Life & Health, Inc. Watch

from S-1/A 14 pages Homeland Healthcare Agreement/Appointment Checklist Please Complete All Documents, Sign Where Indicated, and Return This Checklist Filled Out, With All the Required Documents Attached. Please Return All Documents to the Address Listed Below. Þ Agent Personal Information Sheet Þ Agent Personal Information Sheet Þ Irs Form W-9 Attach: · Current Copy of Insurance License for All States in Which You/or Your Agency Wish to Be Appointed. All Licenses Must Be Current. It Is Your Responsibility to Provide Homeland Healthcare With Renewal Information

from S-1/A 10 pages *File Copy* Time Insurance Company General Agent Sales Agreement

from S-1/A 6 pages General Agency Agreement

from S-1/A 7 pages Gerflo Agreement Letter of Agreement to Serve as Agency of Record

from S-1/A 2 pages Amendment to Employment Agreement for Mary Jo Thiboult Amendment to Employment Contract of Mary Jo Thiboult

from S-1/A 2 pages R & J Medical Sales, Inc. Maxxon Home Health Care, Inc. Accu-White International, Inc. Trusted USA Insurance, Inc

from S-1/A 2 pages To Employment Contract of Warren K. Trowbridge R & J Medical Sales, Inc. Maxxon Home Health Care, Inc. Accu-White International, Inc. Trusted USA Insurance, Inc

from S-1 7 pages Form of Warrant

from S-1 5 pages Employment Contract

from S-1 5 pages Employment Contract

from S-1 4 pages Employment Contract