FINANCIAL PLANNING QUESTIONNAIRE

Transcription

1 FINANCIAL PLANNING QUESTIONNAIRE

2 PERSONAL INFORMATION Address City/State/Zip Home Phone Work Phone Cell Phone Personal Work Client 1 Client 2 Address City/State/Zip Home Phone Work Phone Cell Phone Personal Work School School Child 1 Child 2 School Child 3 Child 4 School 1

3 PRIORITIES Please tell us about your family. Do you have any financial responsibilities for parents, adult children, etc? Y N If yes, please explain: Is anyone in your immediate family in need of custodial care/assisted living? Y N If yes, please explain: What significant life events do you anticipate in the near future? (weddings, career change, health concerns, etc.) What are your top financial priorities and concerns? In order to construct a sustainable retirement plan, please indicate which concessions are you willing to consider by ranking the following options 1-5, with 1 being easiest to concede and 5 being the hardest to concede: Client 1 Client 2 Reducing Spending to Increase Current Saving and Investment Assuming More Market Risk to Strive for Higher Returns Working Longer / Delaying Retirement Accepting a Lower Retirement Income Expectation Leaving a Smaller Estate 2

4 WORK AND INCOME Client 1 Client 2 Employer Position/Title Years w/company Employer Position/Title Years w/company Base Salary Bonus/$$$ Base Salary Bonus/$$$ Retirement Plan Type(s) Annual Salary Deferral $ Traditional or Roth Company Matching % Company Profit Sharing Retirement Plan Type(s) Annual Salary Deferral $ Traditional or Roth Company Matching % Company Profit Sharing Defined Benefit/Pension Yes No Deferred Compensation Yes No Employee Stock Option Yes No Employee Stock Purchase Yes No Deferred Benefit/Pension Yes No Deferred Compensation Yes No Employee Stock Option Yes No Employee Stock Purchase Yes No If YES, provide details If YES, provide details Other Income Sources Annual Amount Anticipated Promotions Anticipated Career Moves Other Income Sources Annual Amount Anticipated Promotions Anticipated Career Moves 3

5 REAL ESTATE Property #1 Property #2 Property #3 Description* *primary, 2nd home, investment, rental, time share, vacation Current Value 1st Mortgage % Rate Years Remaining 2nd Mortgage % Rate Years Remaining HOA Fees Do you have any plans to move, downsize, or relocate? Yes No If YES, please explain: Do you have plans to pursue other real estate investments? Yes No If YES, please explain: 4

6 FINANCIAL ACCOUNTS Banks Account Type* Owner(s) Company/Institution Current Value Brokerage *Checking, savings, money market, CD, IRA, annuities Credit Unions *401k, 403b, 457, 529, annuities, deferred comp Other *Dividend reinvestment, paper certificates (stocks/bonds), government savings bonds 5

7 INSURANCE INFORMATION Accidental Disability Group Life Life 1 Life 2 Life 3 Life 4 Long Term Care Umbrella/Liability Company Coverage Amount Type* Annual Premium $ *Term, universal life, whole life, variable life When was the last formal review of your insurance policies and beneficiaries? 6

8 FINANCIAL PLANNING Education Client 1 Client 2 What extent do you plan on covering expected higher education expenses? Have other family members indicated they plan to help with those expenses? How much are you saving annually per child toward education expenses? Retirement How much are you saving annually towards retirement? What are your anticipated retirement ages? Before-Tax $$ Annual Retirement Income Sources: Social Security Pensions Investments Annuities Insurance Other Do you anticipate inheriting an estate? (Y/N) Annual household income needed to cover fixed expenses? Annual household income needed to cover discretionary spending? Risk Management How much cash do you have set aside for emergencies in a rainy day fund? How many months of household expenses will that cover? Do you anticipate any large expenses in the future? 7

9 Client 1 Client 2 If you became incapacitated or passed away unexpectedly, does someone else know what to do? Taxes & Estate Who prepares your annual income tax return? Do you typically owe money or receive a refund? Do you have any capital losses to carry forward? Are there any unique tax concerns for you or your family? Please indicate Y/N for the following documents: Will Trust Power of Attorney Advanced Medical Directive Health Care Power of Attorney d Guardian for Minor Children When was the last formal review or update of these documents? When was the last formal review or update of your IRA/401K beneficiaries? Do you anticipate philanthropic gifting as part of your estate? Do you have any business ownership or succession planning concerns? Other What are the key factors in your life, upon which, you base your most important decisions? Continued on next page 8

10 What other information would be important for us to know when making recommendations for your family? How would you measure your satisfaction in working with our team? What can we do to give you the confidence to introduce us to your family and friends? The information provided in this questionnaire is intended for informational purposes only, and is not a solicitation to purchase or sell any security. Individuals who open accounts after reviewing any type of financial planning analysis should consider whether to establish a brokerage account or an investment advisory account. There are important distinctions between the two types of accounts. In brief, a brokerage account is transactional in nature, and any advice provided is limited to the transaction. In an investment advisory account, the Investment Executive will act as an investment consultant to monitor the account on an on-going basis. Clients are responsible for determining the type and level of service that is most suitable for their goals and objectives. Please consult your Investment Executive for more information. 9