Preliminary Financial Profile

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Raymond Cameron
6 years ago
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1 Financial Services Preliminary Financial Profile The i on in this document is strictly This i on will not be shared to anyone outside of the firm or be made publicly available, except by your wri NAME(S): DATE: Mark R Stanger CLU, ChFC, CLTC Financial Planner Landmark Financial Services 1048 Meadowlands Drive White Bear Township, MN (direct) (main) (fax) mark@landmarkfinancial.net Ryan Marr Financial Planner Landmark Financial Services 1048 Meadowlands Drive White Bear Township, MN (direct) (main) (fax) ryan@landmarkfinancial.net *Registered ve of and investment advisory services through Financial Network Investment member SIPC. Investment advisory services also offered through AdvisorNet Financial, Inc. One Life Financial Group, AdvisorNet and Financial Network are not affiliated. Copyright One Life Financial Group, Inc. 1

2 BIOGRAPHICAL & EMPLOYER INFORMATION Client 1 Client 2 Name Preferred Greeting Maiden Name (if applicable) Home Address City, State, Zip How long at this address Home Phone Number Cell Phone Number address Preferred Method of Contact Home Ph Cell Ph Home Ph Cell Ph Birth Date Birth Place (state) Gender Male Female Male Female Citizenship (Country) Education/Degrees Military Service Current Prior NA Current Prior NA Marital Status Wedding Anniversary Previous Marriages? Yes No Yes No # of Children Employment Status (check all that apply) Occupation Employer Name Desired Retirement Age Do you want to include Social Security in your retirement plan? Employed Business Owner Retired Other Currently Retired Desired Retirement Age Yes No Partial Unsure looking for guidance General Questions & Your Objectives What would you like to accomplish in your initial meeting? Employed Business Owner Retired Other Currently Retired Desired Retirement Age Yes No Partial Unsure looking for guidance What are your most significant financial concerns? How do you manage your cash flow? There is no spending / savings plan Manually Web / Application: What would you like to accomplish over the next months your personal and financial life? Copyright One Life Financial Group, Inc. 2

3 What positive changes are you hoping to make in your life in the future? What circumstances could impact your financial plan (inheritance, taking care of family members, etc.)? How do you process information when making important financial decisions? What are you hoping to accomplish in a financial planning relationship? Please rank the following on a scale of 1 to 5 (1 = not a priority, 5 = very high priority) Client #1 Client #2 Re evaluate or develop my investment strategy Create a spending and savings plan to manage my cash flow Reduce financial related stress Save time and energy managing my finances Have the ability to retire and maintain my desired lifestyle Develop or update my estate plan Create a charitable or family gifting plan Protect my assets, income, or family from experiencing undesireable circumstances (law suit, disability, medical costs, etc.) Minimize taxes from my income and investments Fund education for my children or loved ones Enhance my current lifestyle Improve organization in financial record keeping INCOME, SPENDING & SAVINGS (estimates are ok) Amount Description Notes Annual Gross Income (before taxes) Monthly Take Home Income (after taxes & applicable deductions) Monthly Fixed Spending (loan payments, utilities, insurance, services, property tax, etc.) Monthly Variable Spending (dining out, entertainment, groceries, personal care, etc.) Annual / Periodic Spending (vacations, home maintenance, etc.) Annual Savings for Retirement (personal & company matching / profit sharing) Annual Savings for your non retirement goals What signicant expenses do you anticipate in the future (home, marriage, children, travel, boats, auto, etc.)? Description When Needed? Estimated Amount Notes Item #1 Item #2 Item #3 Copyright 2011 One Life Financial Group, Inc. 3

4 NET WORTH INFORMATION (estimates are ok) Asset Value Asset Description Notes Primary Residence Other Real Estate Business Assets Checking, Savings, & Money Market Accts. Certificates of Deposit Retirement Accounts (401k, 403b, SEP IRA, SIMPLE IRA, Rollover IRA, Roth IRA, etc.) Deferred Compensation Cash Balance Plan Cash Value Life Insurance Stocks Stock Options (Vested Value) Limited Partnerships Automobiles Jewelry Precious Metals Collectibles Money Owed to You Mutual Funds Restricted Stock Awards Bonds (Savings, Government, Municipal, Corporate) Annuities Toys (boats, RV, ATV, etc.) Other $ TOTAL ASSETS LIABILITIES (estimates are ok) Loan Balance Loan Description Notes 1 st Mortgage Residence 2 nd Mortgage Residence Other Real Estate Loans Business Loans Student Loans Auto Loans Bank Loans Investment Loans Personal Loans Life Insurance Loans Credit Cards Other $ TOTAL LIABILITIES $ NET WORTH (assets liabilities) Copyright 2011 One Life Financial Group, Inc. 4

5 Estate Planning What type of estate planning documents have been drafted? Do you have the following Client #1 Client #2 Notes documents? Health Care Directive YES NO Unsure YES NO Unsure Power of Attorney YES NO Unsure YES NO Unsure Trust Irrevocable YES NO Unsure YES NO Unsure Trust Revocable YES NO Unsure YES NO Unsure Will YES NO Unsure YES NO Unsure Does your will have trust YES NO Unsure YES NO Unsure provisions? Other type of document? YES NO Unsure YES NO Unsure Employer Benefits What type of benefits do you have available (check all that apply)? Benefit Type Client #1 Client #2 Notes Retirement Matching YES NO Unsure YES NO Unsure Stock Purchase Plan YES NO Unsure YES NO Unsure Stock Options YES NO Unsure YES NO Unsure Pension Plan YES NO Unsure YES NO Unsure Profit Sharing YES NO Unsure YES NO Unsure Flexible Spending Acct. YES NO Unsure YES NO Unsure Deferred Compensation YES NO Unsure YES NO Unsure Medial Coverage YES NO Unsure YES NO Unsure Disability YES NO Unsure YES NO Unsure Life Insurance YES NO Unsure YES NO Unsure Legal Services YES NO Unsure YES NO Unsure Vehicle / Allowance YES NO Unsure YES NO Unsure Insurance What type of protection do you have? Insurance Type Client #1 (check all that apply) Amount / Benefit (estimates are ok) Client #2 (check all that apply) Auto YES NO YES NO Dental YES NO YES NO Disability YES NO YES NO Health / Medical YES NO YES NO Homeowners YES NO YES NO Liability / Umbrella YES NO YES NO Life YES NO YES NO Long Term Care YES NO YES NO Other YES NO YES NO Amount / Benefit (estimates are ok) ADVISORS & INDIVIDUALS YOU WORK WITH OR RELY ON FOR ADVICE Name Company Name Notes Attorney Accountant Banker Broker Financial Planner Life / Health Ins. Agent P&C Ins. Agent Others you seek for financial advice Copyright 2011 One Life Financial Group, Inc. 5

6 ASSET ALLOCATION Client #1 Client #2 What do you feel is the ideal hypothetical investment allocation for your retirement assets right now? What do you feel is the ideal hypothetical investment allocation for your retirement assets once you are in retirement (or 10 years from now if you are currently retired)? DOCUMENT INVENTORY Providing our office with the documents below is helpful in identifying the financial planning services appropriate for your situation. However, this information is not required for your initial consultation. You can send your information to our office via secure , fax, or US mail (See contact info. on page #1). Paycheck Statements: One month of your most recent pay stubs for all employers showing all income sources and deductions Employee Benefit Statements: Company handbook or summary detailed fringe benefit programs Retirement Account Statements: Recent statement(s) showing detailed investment holding info ( 401(k), 403(b), Roth IRA, etc.) Bank Information: Recent bank statements including checking, savings, money market, Certificates of Deposit (CDs), etc. Personal Investment Accounts: Investment account statements (mutual funds, stock investments, brokerage statements, annuities, bonds, trust accounts, stock options, stock purchase plans, etc.) Mortgage & Loan Statements: Statements showing your interest rate, original date and amount of loan, current balance, and monthly payment amount (mortgage, home equity loan, line of credit, credit card, student loans, auto loan, personal loans, etc.) Pension Benefit Details & Projections: Pension benefits statement noting how the benefit is calculated (e.g. company handbook), a description of the benefit options available to you, and a projection of your estimated of retirement benefits Insurance Summaries: Summaries of all of your insurance policies. This should include life, disability, medical, auto, homeowners, liability, long term care, and any other insurance coverage that you maintain. In addition, include descriptions of any individual or group insurance coverage you have through your employer or group association Social Security Statement: A copy of your most recent benefit statement from the Social Security Administration Estate Planning Documents: A copy of your Will(s), Trust(s), and any other estate planning documentation Federal and State Tax Returns: Business Owners Please provide 2 years of personal and business tax returns Other: Any other documentation you think would be helpful Copyright 2011 One Life Financial Group, Inc. 6

7 NOTES Copyright One Life Financial Group, Inc. 7

MEETING INFORMATION FAMILY DATA

MEETING INFORMATION FAMILY DATA MEETING INFORMATION Date: Location: Advisor: Goals For This Meeting: FOR MORE ACCURATE FINANCIAL AND INVESTMENT COUNSEL, PLEASE INCLUDE THE FOLLOWING INFORMATION A copy of your will and related estate