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Thank you for completing this fact finder to begin the financial planning process. Any information that you canprovide will be very helpful. If you don’t know the answer, or the section does not apply to you, please skip it.There is a list of documents on page 7. Please provide as many of those as you can.Where we ask you to rate something 1-10, please use 10 as the high value / most important.Personal InformationClientCo-ClientFull nameGenderMaleDate of birthFemale/SingleMarital arriedSeparatedWidowedDivorcedWidowedEmail addressRetiredEmployment statusRetiredEmployedBusiness OwnerBusiness OwnerHomemakerOther pre-retirement income(non investment)HomemakerNot Currently EmployedNot Currently EmployedEmployment incomeEmployed CitizenshipEnter children or any other person whom you will give a Gift, designate as a Beneficiary, or assign ownership of aninsurance policy.NameDate of neeOther DependentCharityTrustOther DependentCharityTrustOther DependentCharityTrustOther DependentCharityTrust
Retirement GoalAge you would like to retire:ClientCo-ClientDo you consider yourself to be in good s there longevity in your family?Client:YesNoRetirement Living Expenses:Approximately how much income will you need per month when:One of you is retired and one is still working:Both of you are retired:One of you is retired and the other is deceased:Will you change states in retirement?NoYesState where you will move:When Will You Move?Client’s RetirementCo-Client’s Retirement OR YearCollege Goal: Please submit statements for any 529 Plans or prepaid tuition.How important is it that you are able to pay for college for your child(ren)? 1-10:How many years of college / graduate school do you plan to pay for each child?If you know that one or more of your children has a specific college in mind, please list it here. Otherwise, pleasechoose option A or B below for estimating costs:Preferred method for estimating college costs: (choose A or B)A. My cost estimate: (Annual Cost)B. Use an average cost:Public In-State (4-year) - 20,339Public Out-Of-State (4-year) - 32,329Public In-State (2-year) - 14,637Public Out-Of-State (4-year) - 22,912Private (4-year) - 40,476Average All - 26,832Have you prepaid for college using a 529 Prepaid Tuition Plan?How many years of tuition and fees will be covered for this college?NoYes
Other Financial Goals (Major Purchases, Weddings, Travel, New Home, etc.)Are there major expenses that you anticipate using your investment assets to fund? Some examples include purchasessuch as vehicles or new homes, weddings, travel, starting a business. Please estimate an amount and a year for each itemand indicate how important it is to you.GoalYearAmountHow Important?1-10Recurring? y/nPensionsWhose pension:Description:Income begins:ClientCo-ClientClient’s RetirementCo-Client’s RetirementAmount of benefit (estimate of pre-tax future value): Will this amount inflate?Survivor benefit:Whose pension:NoReceiving Income begins:Client’s RetirementCo-Client’s RetirementAmount of benefit (estimate of pre-tax future value): Will this amount inflate?Survivor benefit:No%YesReceiving NowperMonthYearYear
Plans for Part-Time Employment During RetirementWhose income:ClientCo-ClientDescription:Income begins:Client’s RetirementCo-Client’s RetirementReceiving NowYearNumber of years:Income amount (pre-tax, today’s dollars): Whose me begins:Client’s RetirementCo-Client’s RetirementReceiving NowYearNumber of years:Income amount (pre-tax, today’s dollars): perMonthYearRental Property IncomeWhose income:ClientCo-ClientDescription:Income begins:Client’s RetirementCo-Client’s RetirementDo you intend to sell this property in the future?NoWhose income:NoClientYearYes If yes, what year?Amount of net rental income (pre-tax rental income less expenses): Will this amount inflate?Receiving NowMonthYearYesCo-ClientDescription:Income begins:Client’s RetirementCo-Client’s RetirementDo you intend to sell this property in the future?NoAmount of net rental income (pre-tax rental income less expenses): Will this amount inflate?NoYesReceiving NowYearYes If yes, what year?MonthYear
Investment AccountsPlease provide a summary here of your investment accounts and please submit a current statement for each account.This should include all employer-sponsored plans such as 401(k) and 403 (b) as well as any IRAs, Roth IRAs, 529 or othercollege savings accounts, and cash accounts.AccountDescription1.Whose accountis it?(client / coclient / joint)Where is theaccount held?(institutionname)Amount ofannualadditionsApproximatecurrent balanceAmount ofannualadditions byemployer If you had to save more, what is the maximum extra amount you could save annually to meet your goals? Thisamount is the above and beyond the total additions you are already making to investment assets. 2.How willing are you to save more money?Slightly WillingSomewhat WillingVery WillingPersonal and Business Assets(Homes, Vehicles, Personal Property, Business Assets, Real Estate, etc.)DescriptionWho owns it?Estimated valueDate of potentialfuture sale Range of potentialvalues at sale date
Life Insurance Policies: Please submit copies of first 4 pages from each policy.Policy datePolicy numberOwner:Insured:Group policy? Y / NOwner:Insured:Group policy? Y / NOwner:Insured:Group policy? Y / NOwner:Insured:Group policy? Y / NPremium perDeath Benefit Cash Value per per per Disabilities Insurance Policies: Please submit copies of first 4 pages from each policy.ClientCo-ClientDo you have a group policy through work?NoYesNoYesDo you have an individual policy?NoYesNoYesIf yes, who is the carrier?Long Term Care Insurance: Please submit copies of first 4 pages from each policy.Do you have long term care insurance?Client:NoYesCo-Client:NoYesLiabilities: Please submit a current statement from each(Home & Land Loans, Vehicle Loans, Business Loans, Other Personal Debt)DescriptionOriginal balanceCurrent BalanceInterest Rate % % % % %Date loan beganMaturity Date
Estate Documents: Please submit a copy of each esMedical DirectiveNoYesNoYesLiving WillNoYesNoYesPower of AttorneyNoYesNoYesDate Last Reviewed:Summary of the documents that have been requested above:1.2.3.4.5.6.7.8.9.Recent tax return.Social Security statements for each of you. These can be downloaded by registering at www.ssa.govStatements from any pensions that you have.Statements from all investment asset accounts, including employer-sponsored plans, IRAs, Roth IRAs, taxableinvestment accounts, cash savings accounts, 529 plans, cash value life insurance, and annuities.Statements for any liabilities that you have.Group benefit information from your employer, specifically your group life, disability, or long-term care insuranceif you have any available to you through work).Individual life, disability, or long term care insurance policies that you own (the first three or four pages of thepolicy is all we need for now).Completed budget (a template is on the pages that follow), or a rough estimate of your monthly expenses.Any estate planning documents that you have prepared, such as your will, living will, power of attorney, and trustdocuments for any trusts you have established.The following three pages will help you identify your monthly spending levels on various typical expenses. These pagesare optional. If you prefer, you can give us a rough estimate. Subtract your regular monthly savings from your takehome pay and the difference is your monthly expense estimate.Rough total of monthly expenses: It is helpful to know if any of your monthly expenses will end at a set date (such as childcare costs and tuition).
Budget – OptionalPersonal and Family ExpensesPersonal Insurance ExpensesMonthly Budget AmountCategoryAlimonyBank ChargesBooks/MagazineBusiness ExpenseCare for Parent/OtherCash - MiscellaneousCell PhoneCharitable DonationsChild ActivitiesChild Allowance/ExpenseChild CareChild SupportCurrentAlt 1 /RetirementCategoryDisability for ClientDisability for Co-ClientLife for ClientLife for Co-ClientLTC for ClientLTC for Co-ClientMedical for ClientMedical for Co-ClientUmbrella LiabilityOtherTaxesChild TutorClothing - ClientClothing - Co-ClientClothing - ChildrenClub DuesCredit Card Debt ealthcare - DentalHealthcare - MedicalCategoryClient MedicareCo-Client FICACo-Client MedicareFederal IncomeState IncomeLocal IncomeOtherIncomeCategoryHealthcare - VisionHousehold ItemsLaundry/Dry CleaningPersonal CarePersonal Loan PaymentPet CarePublic TransportationRecreationSelf ImprovementStudent Loan PaymentVacation/TravelOtherMonthly Budget AmountAlt 1 /CurrentRetirementClient FICAHealthcare - PrescriptionHobbiesMonthly Budget AmountAlt 1 /CurrentRetirementEmploymentOtherMonthly Budget AmountAlt 1 /CurrentRetirement
Budget – OptionalHome ExpensesVehicle ExpensesDescription:Description:Monthly Budget AmountCategoryCurrentAlt 1 /RetirementCategoryFirst MortgageLoan PaymentSecond MortgageLease PaymentEquity LineInsuranceReal Estate TaxPersonal Property TaxRentFuelHomeowner’s InsuranceRepairs/MaintenanceAssociation OtherMonthly Budget AmountAlt 1 /CurrentRetirementTrash PickupWater/SewerVehicle ExpensesCable/Satellite TVDescription:InternetTelephone (land line)CategoryLawn CareMaintenance - Major RepairLoan PaymentMaintenance - RegularLease PaymentFurnitureInsuranceHousehold HelpPersonal Property g/StorageOtherMonthly Budget AmountAlt 1 /CurrentRetirement
Budget – OptionalHome ExpensesVehicle ExpensesDescription:Description:Monthly Budget AmountCategoryFirst MortgageSecond MortgageEquity LineReal Estate TaxRentHomeowner’s InsuranceAssociation FeesElectricityGas/OilTrash PickupWater/SewerCable/Satellite TVCurrentAlt 1 /RetirementCategoryMonthly Budget AmountAlt 1 /CurrentRetirementLoan PaymentLease PaymentInsurancePersonal Property rageOtherVehicle ExpensesDescription:InternetTelephone (land line)CategoryLawn CareMaintenance - Major RepairLoan PaymentMaintenance - RegularLease PaymentFurnitureInsuranceHousehold HelpPersonal Property g/StorageOtherMonthly Budget AmountAlt 1 /CurrentRetirement
Microsoft Word - 2017 together fact finder for financial planning Author: Owner Created Date: 1/30/2018 1:23:47 PM .
