CLIENT INFORMATION Please Tell Us about Yourself

Transcription

1 CLIENT INFORMATION Please Tell Us about Yourself This form is optional to complete. It is designed as a questionnaire and is intended to be your request for service regarding the topics you indicate. This is not an application for anything. Answering any question is voluntary. You are providing information only to the businesses and representatives of Abbington Financial Group. Your permission is required before your information is shared with any other person or organization. Please see the Privacy tice on Page 5. Please print this page to complete by hand. Then please send this form to Abbington Financial Group by fax or mail (both are more secure) or by scanning and (which is less secure). Our contact information is at the bottom of this page, or click "Contact Us" on our website. PRIMARY CONTACT PERSON SECOND PERSON Month: Month: Full Name Month and Year of Birth Year: Year: What is the relationship of the Second Person to the Primary Contact? (checkmark) Government issued identification is not required at this time. Spouse: Married Business Associate Common-Law Other: _ Other Family: Home: Street Address City, Province, Postal Code Phone: Home Phone Cell Phone Work Phone Fax Number Address Preferred Contact Method Employment: Employer Name Occupation Title Employed Since Annual Gross Income (before tax) Current Year RRSP Deduction Limit Continued on page 2 _ Mutual funds provided through FundEX Investments Inc. Abbington Financial Group, 662 Upper James Street, Hamilton, Ontario, L9C 2Z3 Tel: Fax: service@abbington.ca

2 Page 2 DEPENDENTS: Your dependents may include children, parents, or any other financially or physically dependent person. Nature of Dependency Relationship First Name Birth Month/Year Does this Dependent Live with You? i.e. child, student, disabled INVESTING: Which of these are your objectives for investing? (Please check-mark all your objectives.) _ Current Retirement Income Planning (already retired, or retiring within 5 years) _ Transfer Your Pension Commuted Value to Your Individual Account _ Invest for Your Future Retirement (more than 5 years from now) _ Save or Invest for Your or Your Child(ren)'s: _ Post-Secondary Education _ Home Ownership _ Beautiful Wedding _ Trust Fund for Future Needs _ Opportunity to Begin Own Business _ Income Supplement for Life _ Other: Reduce the Income Tax Payable on Your Savings and Keep More of Your Money _ Consolidate and Simplify Your Investments _ Save for a Home Down Payment or Any Other Large Purchase _ Get a Better Return on Your Investments _ Purchase GIC's or other Safe, Guaranteed Investments _ Invest for the Long-Term with no particular objective _ ne of the above. Please do not contact me/us regarding investing. MORTGAGES: Reduce your cost of borrowing with very competitive interest rates and prepayment features available from over 30 different lenders including major banks. You do not need to negotiate for the best rate with your bank. We will automatically offer the lowest rate available to you, and we will ensure you have the features you need to reduce your mortgage balance quickly. 1. Do you want to be contacted right away to discuss applying for a mortgage? You can also apply online. Go to abbington.ca and in the MORTGAGES section click "APPLY ONLINE". 2. a) Do you own your own home? If "", do you have a mortgage? If "" again, do you have a fixed rate or variable rate mortgage? Fixed Variable When is your mortgage renewal date? or is it Open? b) If you do not own your home, do you: _ Rent? _ Live with your parents or other family? Do you intend to purchase your own home within two years? Continued on page 3

3 Page 3 MORTGAGES: (Continued) 3. Which of the following would you like to do? (Please check-mark all your interests.) Better understand mortgages features (terms, prepayment privileges, etc,) Discuss how you can consolidate your debts and improve your cash flow Pre-qualify for your first home or for a larger home Use the "Tax Deductible Mortgage" strategy (commonly called "The Smith Manoeuvre") Discuss financing for a home renovation or addition Use the equity in your home to increase your retirement income Discuss how to improve your credit score Determine if you qualify for a mortgage and how much you can afford Borrow to invest, or Borrow for your business needs ne of the above. Please do not contact me/us regarding mortgages. Would you like to receive the weekly Mortgage Alliance "Rate Advisor" informing you of the best mortgage rates currently available? This means providing your first name and address to Mortgage Alliance. If "", to which Address: INSURANCE: Your most valuable financial asset may be your ability to earn income. If this ability is diminished or lost, there must be another source of income for your dependents and maybe for you, too. LIFE INSURANCE: Consider the amount of your annual income which you use to support your family members or other dependents then multiply this amount by 14. The result is approximately the amount of money required in a lump sum from which to draw income lasting twenty years just to support your dependents (assuming a 4% return on the investment). This does not yet consider other objectives you may have. Also, the deemed disposition upon death of assets like RRSP/RRIF accounts, a cottage, or other property, may have significant tax consequences making a fair distribution of assets among children or other heirs a divisive problem. Life insurance can solve this problem. Do you have life insurance coverage with your employer and/or individually? Would you like a life insurance review? DISABILITY INSURANCE: In the event of disability from an accident or illness you may lose some or all of your employment income and you may have additional health care expenses associated with your disability. Do you have disability insurance coverage with your employer or otherwise? Would you like a disability insurance review? HEALTH & DENTAL INSURANCE: Do you have health & dental insurance coverage with your employer or otherwise? Would you like a health & dental insurance review? Continued on page 4

4 Page 4 CRITICAL ILLNESS INSURANCE: Survival rates for persons diagnosed with a critical illness are improving. Yet a critical illness event, the diagnosis, and the treatment may cause both high medical expenses and a loss of earned income for a long period of time. Do you have critical illness insurance coverage with your employer or otherwise? Would you like a critical illness insurance review? LONG TERM CARE INSURANCE: As if the loss of earning income isn't bad enough, an accident or illness may cause a need for long term care either at home or at a health care facility. The list of attendant care services and medical devices not covered by the Ontario government is very long. For many people, relying on family members for attendant care is not practical or desirable. Do you have long term care insurance coverage with your employer or otherwise? Would you like a long term care insurance review? TAX & ESTATE: Do you prepare your own Tax Return(s) each year? If "", who prepares your tax return(s)? Abbington Tax & Estate Services Inc. another tax preparation firm (like H&R Block or Liberty Tax) a relative or friend (non-professional) a bookkeeper or accountant (such as a CA or CGA) Would you like to know about how Abbington Tax & Estate Services Inc. can be your representative to the Canada Revenue Agency for administrative (not legal) purposes? When did you last prepare or review the following documents? Your Will Month/Year or Never Power of Attorney for Property Month/Year or Never Power of Attorney for Personal Care Month/Year or Never Would you like an Estate Planning Review to examine the tax consequences of your choices as expressed 1) in your Will, and 2) by naming beneficiaries on registered accounts? 5. Would you like to know your options with respect to creating Trust Accounts to minimize income tax and stipulate financial responsibility for the long term benefit of your heirs? PERMISSION TO BE CONTACTED: Would you like to receive quarterly notices of updates to our website? This may include financial articles, tips and newsletters on topics relating to income tax, investments, mortgages or life insurance. If "", to which Address: _ By signing below, I/we give Jeffrey Sindall or any other representative of the businesses of Abbington Financial Group permission to contact me/us by phone, , or paper mail for the purpose of discussing the Financial Planning, Investing, Mortgage, Insurance, or Tax & Estate interests I/we have indicated above. I/we have read, understand and agree to the PRIVACY NOTICE which appears on Page 5 of this document. Print Name: Signature: Date: Primary Contact: Second Person:

5 Page 5 PRIVACY NOTICE As an organization that collects, uses and discloses personal information, Abbington Financial Group (and each business thereof) is subject to the federal Personal Information Protection and Electronic Document Act (or by similar laws in the provinces of Alberta, British Columbia and Quebec), effective January 1st, In complying with these laws, it is important that Abbington Financial Group provide you with information so that you may fully understand the purposes for which your personal information is collected. Over the course of your relationship with the businesses and representatives of Abbington Financial Group, personal information will be collected in order to administer your financial matters and accounts. This information typically includes your financial information and investment objectives, your current investments, banking information, your social insurance number and other government issued identification. This information allows for, but is not limited to, the buying and selling of mutual funds on your behalf, applying for mortgages or insurance, or administering to your income tax, in addition to providing you with reporting and the administration of your accounts in a compliant and regulatory manner. At times, the respective businesses of Abbington Financial Group may be required to provide your information to mutual fund companies in which you invest, mortgage lenders, credit bureaus, insurance companies, the Canada Revenue Agency and other government service departments, self-regulatory organizations, securities regulators, law enforcement agencies, and to companies that perform services on our behalf. These organizations, like the businesses of Abbington Financial Group, are bound and must comply with the same federal/provincial privacy act(s). Abbington Financial Group does not disclose your information to any other organization(s) to use for their own purposes and in particular will never sell or trade your personal information. The purposes for which we collect, use and disclose your personal information are central to our being able to provide you with our services. Should you have objections to the collection and disclosure of your personal information as listed in the foregoing, Abbington Financial Group will no longer be in a position to provide you with these services. Therefore, by maintaining your account with Abbington Financial Group we will consider that you have consented to our collecting, using and disclosing your personal information. In representing Abbington Investments your financial advisor is acting on behalf of the mutual fund dealer, FundEX Investments Inc. Your financial advisor may also be licensed to sell other products and therefore may wish to provide you with advice and services in that other capacity. Should they do so, your financial advisor will communicate with you directly regarding any additional use or disclosure of your personal information. If you wish to review or make changes to your personal information you may do so by contacting your advisor. With respect to your investment accounts you may also make a written request to: Privacy Officer, FundEX Investments Inc., 400 Applewood Crescent, 3rd Floor, Vaughan, Ontario, L4K 0C3. Should you have any questions or concerns regarding the use of your personal information we encourage you to speak with your advisor or an officer with Abbington Financial Group. Alternatively, you may contact the designated Privacy Officer for FundEX Investments Inc., 400 Applewood Crescent, 3rd Floor, Vaughan, Ontario, L4K 0C3, or via fax at or toll-free fax at , or via at compliance@fundex.com. Thank you.