Schwab Private Client Fact Finder
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- Randell Randolph Gallagher
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1 Schwab Private Client Fact Finder Your first step toward creating a personal financial plan tailored to your needs that can help you reach your goals.
2 Please return completed form to your Schwab Portfolio Consultant. Portfolio Consultant s Name Fax Number Schwab Private Client Fact Finder Personal Information Client First Name Client Last Name Date of Birth (mm/dd/yyyy) Client Address Client Phone Number Spouse/Partner First Name Spouse/Partner Last Name Date of Birth (mm/dd/yyyy) Dependent Name Date of Birth (mm/dd/yyyy) Dependent Name Date of Birth (mm/dd/yyyy) Assets Current Cash Balance Held Outside Charles Schwab Client Spouse/Partner Joint Investment Accounts Please list all non-schwab investment accounts. Title of Account Type of Account Title of Account Type of Account Title of Account Type of Account Title of Account Type of Account Title of Account Type of Account Title of Account Type of Account * Original value (usually the purchase price) used for tax purposes. Schwab Private Client Fact Finder Page 2 of 6
3 Assets (Continued) Stock Options Do you own stock options in a publicly traded company? Deferred Compensation and Deferred Annuities Residence, Business, and Other Real Estate Assets * Original value (usually the purchase price) used for tax purposes. Liabilities Loan /Type Balance Payment Amount (principal and interest only) Payment Frequency Interest Rate Year of Maturity Schwab Private Client Fact Finder Page 3 of 6
4 Current Insurance Coverage Life Insurance (Whole Life, Term, etc.) Insured Policy Beneficiary Insured Policy Beneficiary Insured Policy Beneficiary Insured Policy Beneficiary Disability Insurance Insured Annual Premium Monthly Benefit Waiting Period (days) Length of Benefit (years) Cost-of-Living Adjustment Long-Term Care Insurance Insured Annual Premium Age Premium Ends Daily Benefit Amount Waiting Period (days) Length of Benefit (years) Cost-of-Living Adjustment Umbrella Liability Insurance Insured Coverage Amount Schwab Private Client Fact Finder Page 4 of 6
5 Income Sources Earned Income Client Spouse/Partner Social Security Annual Earned Income Annual Earned Income Annual Cash Bonus Annual Cash Bonus Other Earned Compensation Other Earned Compensation Client Age Benefit Begins Expected Monthly Benefit Spouse/Partner Age Benefit Begins Expected Monthly Benefit Pensions and Other Government Programs Benefit Begins w At Retirement On Cost-of-Living Adjustment Survivor Benefit Percentage Benefit Begins w At Retirement On Cost-of-Living Adjustment Survivor Benefit Percentage Other Miscellaneous Income Survivor Benefit Percentage Year Payments Begin Number of Years Payments Continue Cost-of-Living Adjustment Survivor Benefit Percentage Year Payments Begin Number of Years Payments Continue Cost-of-Living Adjustment Survivor Benefit Percentage Year Payments Begin Number of Years Payments Continue Cost-of-Living Adjustment Expenses Do not include liability payments (such as mortgage payments) or income taxes. Current Monthly Expenses Desired Monthly Retirement Spending Goal Desired Client Retirement Age Desired Spouse/Partner Retirement Age Schwab Private Client Fact Finder Page 5 of 6
6 Other Financial Goals These are specific spending goals, such as education funding goals, travel expenses, and major purchases, occurring before or during retirement. Goal 1 Beginning Date (mm/dd/yyyy) Total Number of Years Needed Goal 2 Beginning Date (mm/dd/yyyy) Total Number of Years Needed Goal 3 Beginning Date (mm/dd/yyyy) Total Number of Years Needed Estate Planning Your Schwab Personal Financial Plan will address possible events during your life, as well as help you plan for your legacy after your passing. Please take a few moments to let us know the extent of your current estate planning. Do you have: Client Spouse/Partner N/A Dated (mm/dd/yyyy) N/A Dated (mm/dd/yyyy) A signed, legal will and durable power of attorney A health care representative and living will Business continuation plan(s) (e.g., a buy/sell agreement) Trust documents Significant charitable inclinations Additional Information We Should Know Portfolio management is provided by Schwab Private Client Investment Advisory, Inc., a Registered Investment Advisor and affiliate of Charles Schwab & Co., Inc. Please read the Schwab Private Client and the Schwab Private Client Investment Advisory, Inc. disclosure brochures for information and disclosures about this service. The Portfolio Consultant, Associate Portfolio Consultant, and other representatives making investment recommendations in your Schwab Private Client accounts are employees of Schwab Private Client Investment Advisory, Inc. Fee-based financial planning consultations are conducted by employees of Schwab Private Client Investment Advisory, Inc. (SPCIA) Charles Schwab & Co., Inc. All rights reserved. Member SIPC. CS ( ) SLS (09/14) Schwab Private Client Fact Finder Page 6 of 6
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