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Financial planning fact finderOur financial planning process involves discussing your goals, gathering pertinent data, designing solutions, and delivering acohesive plan that you can implement to help you reach your goals.The process begins with understanding what you want to achieve.Please list your specific financial goals.Date:1.2.3.4.What do you feel are the main obstacles to achieving your goals?In three years from now, looking back on your relationship with your financial advisor, what willyou have expected to have accomplished?What keeps you up at night?What are your top priorities?Some basic information about you:Prefix: q Mr. q Mrs. q Ms. q Dr./Name/Date of birthStreet addressCityContact numberEmailOccupationEmployerq Yes q NoU.S. CitizenStateZip code
Co-ClientPrefix: q Mr. q Mrs. q Ms. q Dr./Name/Date of BirthStreet AddressCityContact NumberEmailOccupationEmployerq Yes q NoU.S. CitizenStateZip CodeDependents/NameDate of Birth/NameNameNameName*Daughter, Son, Mother, Father, etc.2Relationship Type*CitizenshipAdd to Plan?q Yes q NoRelationship Type*CitizenshipAdd to Plan?q Yes q NoRelationship Type*CitizenshipAdd to Plan?q Yes q NoRelationship Type*CitizenshipAdd to Plan?q Yes q No/Date of BirthAdd to Plan?q Yes q No/Date of Birth/Citizenship/Date of Birth/Relationship Type*/Date of Birth/q Yes q No/Date of Birth/Name/Relationship Type*CitizenshipAdd to Plan?
Professional AdvisorsAttorneyBusiness NameAddressPhoneAccountantBusiness NameAddressPhoneInsurance AgentBusiness NameAddressPhoneOtherBusiness NameAddressPhoneEducationList any education goals or expenses anticipated for yourself, your children and/or your grandchildren including primaryschool, private school, Trade Schools, and Colleges and Universities.StudentDescriptionYearstart# ofyearsAnnual schoolcostFundsavailable nowMonthlysavingsPortionto fundStudentDescriptionYearstart# ofyearsAnnual schoolcostFundsavailable nowMonthlysavingsPortionto fundStudentDescriptionYearstart# ofyearsAnnual schoolcostFundsavailable nowMonthlysavingsPortionto fundStudentDescriptionYearstart# ofyearsAnnual schoolcostFundsavailable nowMonthlysavingsPortionto fund3
Document ChecklistThe following documents can assist us in creating your financial plan. You can skip the corresponding section in the factfinder for information provided in the documents. Please provide copies of the following documents.1. Bank and Brokerage Statements4. Tax and Legal Documentsq a. Checking Account Statementsq a. Latest Income Tax Returns (Last 2 years)q b. Savings/CDs/Money Market Statementsq b. Loan Documentsq c. Brokerage Account Statementsq c. Willsq d. Loan Statements (Personal Residence, PrimaryResidence, Home Equity/Other Mortgage, RealEstate, Investment/Margin, Credit Card,Automobile)q d. Trust Documentsq e. Settlement Agreementsq f. Pre- and Post-Nupital Agreementsq g. Divorce Settlements (alimony and child support)q e. IRA/Roth IRA Statementsq h. Powers of Attorneyq i. Prepaid Legal Fees2. Employment Documentsq a. Payroll Statementsq j. Business Agreements/Loansq b. Employee Benefits Statementq k. Employment Contractsq c. Group Term Life Insurance5. Business Documentsq d. Group Disability Coverageq e. Retirement Plan Statements (401(k), 403(b), 457)q a. Buy-Sell Agreementsq f. Pension Plan Statementsq b. Deferred Compensation Plansq g. Section 125 Plan (Cafeteria, MSA)q c. Stock Option/Stock Bonus Planq h. Stock Option Plan3. Insurance Company (Most recent statement ordeclaration page for each)q a. Lifeq b. Annuityq c. Healthq d. Disability Incomeq e. Long Term Careq f. Homeownersq g. Autoq h. Umbrella/Excess Liabilityq i. Professional Liability4
AssetsPersonal Assets: Please include any personal assets that you own including residences, automobiles, collections, art work,jewelry, etc.Personal AssetsOwnerValueInvestments: Please include all non-qualified investments such as bank accounts, brokerage accounts, and investmentholdings and indicate the annual contribution you plan to make to each.InvestmentsOwnerValueAnnual ContributionCheckingSavingsCDsBrokerageRetirement Assets: Please include all qualified investments such as IRAs/Roth IRAs, 401(k), 457, and SEP accounts andindicate your annual contribution to each and contributions from your employer.Retirement butions
Assets (continued)Real Estate Holdings: Please include all real estate holdings by location and indicate any future plans to sell the holdings.Real Estate locationCurrentMarket ValueOwnerBasisPlan to sell?Business Interests: Please list all business interests for which you own part of all of the interest.Business NameBusiness Name 1Business Name 2Business Name 3OwnerBusiness Type*Base ValueTax BasisPass Thru (Yes/No)*Sole Proprietorship, Partnership, S-Corp, C-Corp, Limited Liability Corp, Professional CorpBusiness Cash FlowBusiness Name 1Business Name 2Business Name 3IncomeExpensesDistribution TypeDistribution AmountDistribution (% of income)Related Business QuestionsBusiness Name 1 Business Name 2Business Name 3Client active in the business?q Yes q Noq Yes q Noq Yes q NoSpouse active in the businessq Yes q Noq Yes q Noq Yes q No# of children involvedq Yes q Noq Yes q Noq Yes q NoFuture Plansq Yes q Noq Yes q Noq Yes q NoShareholder, Partnership or Operating Agreementq Yes q Noq Yes q Noq Yes q NoDoes current agreement permit gifting?q Yes q Noq Yes q Noq Yes q NoBuy/Sell Agreement among owners?q Yes q Noq Yes q Noq Yes q NoBuy/Sell Agreement funded with life insurance?q Yes q Noq Yes q Noq Yes q NoHow of coverage if applicable?q Yes q Noq Yes q Noq Yes q No6
InsurancePlease list the insurance policies currently in force. If you have copies of the latest statements or declaration pages, you donot need to complete this section.Life Insurance includes Group, Term, Whole Life, Universal Life, Variable, or other custom policies.Policy 1Policy 2Policy 3Policy 4Policy 5Life InsuranceInsuredOwnerBeneficiaryFace amountAnnual premiumCash valueDisability Income includes Group and Individual policies.Policy 1Policy 2DisabilityincomeInsuredMonthly benefitAnnual premiumWaiting periodLength of benefitCost of livingadjustment(COLA)7Policy 3Policy 4
Insurance (continued)Long Term Care insurance includes Group and Individual policies.Policy 1Policy 2Policy 3Policy 4Long Term CareInsuredAnnual premiumDaily benefitWaiting periodLength of benefitCost of LivingAdjustment(COLA)COLA Method** Simple or CompoundLiabilitiesPlease list all outstanding liabilities including mortgages for your primary residence, home equity loan, real estateholdings, businesses, investment/margin, credit cards, and automobile loans.LiabilityCurrent BalancePeriodic Payment8PaymentFrequencyInterest RateYear ofMaturity
IncomePlease include income you receive with the exception of income related to business interests (included on page 6).IncomeClientCo-ClientJointAny anticipated changes?SalaryBonusSelf EmploymentDividends / InterestRentalsSocial Security Benefits: Please include your most recent Social Security statement.Client BenefitsRetirement Monthly BenefitSurvivor BenefitsAge 62 monthly income Family BenefitFull monthly income Spousal Benefit Age 70 monthly income Retired Benefit Co-Client BenefitsCo-Client BenefitSurvivor BenefitsAge 62 monthly income Family Benefit Full monthly income Spousal Benefit Age 70 monthly income Retired Benefit Pensions: Please list all you are eligible to receive.ClientCo-ClientStart AgeMonthly AmountAnnual Inc. %Survivor %9
ExpensesPlease list fixed and variable expenses. Fixed expenses include expenses such as rent, utilities, medical costs, andmedications. Please include insurance premiums and loan payments if not listed elsewhere. Variable (discretionary)expenses include such as vacations, entertainment, hobbies, and gifts.Monthly expenses: I spend about a month on everything.Current ExpenseMonthly amountRetirement amount(today’s dollars)End dates?Other Expenses: Please list any expenses that are variable meaning they do not occur every year or any expenses youexpect to incur in the future.DescriptionAmountYear Begins10Number ofyearsOccurs everyX years
Survivor Expenses: In the event of either premature death, please list the percentage of total expenses that the survivingclient would incur. This information will help us determine survivor income needs. Consider what lifestyle and childcareexpenses would be impacted in the event of a premature death. The average is around 70-80%, however, this may bedifferent for every client.Client’s Living Expenses in the event of Co-Client’s Death:Co-Client’s Living Expenses in the event of Client’s Death:Estate Planning: Please help us understand what planning you have done for your estate.ClientDo you have a will?Co-Clientq Yes q Noq Yes q Noq Yes q Noq Yes q NoHeirs from a previous marriage?q Yes q Noq Yes q NoAdvanced Directives/Living Will?q Yes q Noq Yes q NoIf you have minor children, do you have a guardiannomination?q Yes q Noq Yes q NoIf yes, when was it updated last?Do you have a trust?If yes, what type of trust?What is the goal of the trust?What are your goals for your estate? For example, do you plan to leave your estate to your heirs? Do you plan to donateto a charity?List any other information you feel is important to the financial planning process.This fact-finder is intended to gather initial information in the financial planning process. Please note that if you decide toengage in any software-base financial planning process, you may need to also complete the applicable questionnaire.At implementation, if any, a separate application and/or Investor Profile will need to be submitted for any financial orinsurance product you ultimately decide to purchase and will result in their own suitability and underwriting analyses. Inthe event that there is an inconsistency between the information you provided in this material and application/investorProfile, the information in the application/Investor Profile shall govern.SMRU 521249 exp 10/31/201511
Oct 31, 2015 · Financial planning fact finder Our financial planning process involves discussing your goals, gathering pertinent data, designing solutions, and delivering a cohesive plan that you can implement to help you reach your goals. The pr
