About You



CLIENT FACT FINDERRetirement Planning Powered ByAbout YouClientSpouse/PartnerFirst NameMaxLottieMiddle InitialLast NameStacksDate of Birth or Current Age5246Current Annual Income$130,000$70,000At what age do you hope to retire?6559What is your life expectancy?9090If one of you predeceases, what percentage of your net income goal does the survivor need?100%100%Your Retirement IncomeMany clients estimate they will need 70-80% of their pre-retirement income after they retire. If you have an idea of what you’ll need, please enter it here:Monthly Amount (After Tax in Today’s Dollars)What is your monthly income goal when you retire?$8,000If you’re not sure how much you’ll need, use this section to list your monthly household expenses. This will be used to forecast your income needs in retirement.Expense DescriptionAmountContinues in Retirement?Mortgage$3000No – Paid off in 10 years from nowProperty Taxes$I included this in the $122K$$$$$Children / Dependents / Heirs (Optional entries)NameCurrent AgeYears of CollegeEstimated Annual Tuition/R&B Wedding AgeWedding ExpenseConcerns/Special Needs$$$$$$$$Sources of Retirement IncomeClient (Amount)Begins at AgeEnds at AgeSpouse (Amount)Begins at AgeEnds at AgeUsing a recent statement from Social Security, please provide Estimated Benefit $ ?Don’t have estimate yet, planning on starting at 67N/A$ ?Don’t have estimate yet, planning on starting at 67N/AAre you eligible for a pension for a current or former employer? $210066Lottie will get half when I pass awayDo you earn rental income that you expect to continue into retirement?No$Do you intend to work part-time after retirement? No$Please describe other income you’d like to include in your plan.Your Financial Assets We’d like to know what type of assets you currently have. For each account, please provide a current total value. Description(401k, IRA, Investment/Brokerage)OwnerAsset Type(Mutual Fund, Stock, Bond)Current ValueMonthlyContributionGoal for AccountSavingsBothSavings acct$210,000$0Security – just in caseIRAMaxMutual funds$325,000$5000 Annually401kMaxMutual funds/stocks$310,0006% of salary plus company match (up to 3%)401kLottieMutual funds$105,0003% of salary (3% match)$$$$$$$$$$Other Assets and Commitments (For Net Worth Purposes Only)Client (Amount)Spouse Amount (Amount)Home$$Auto$$Second Home$$Personal Property$$Other$$InsuranceLet’s talk about Life Insurance you may have right now.Employer Provided Life InsuranceInsured’s NameDeath Benefit Amount (frequently a multiple of your base salary)Max5 x salaryTerm Life InsuranceInsured’s NameDeath Benefit Amount When Does this Coverage End?Permanent LifeInsured’s NameDeath Benefit Amount Current Cash Value, if knownDoes this policy have a Term Rider?If so, what is the Death Benefit on the Rider?When does the Term end on the Rider?Max250,000NoGoals and ExpensesBefore our meeting, give some thought to what you would like to do in retirement – travel, buying a second home, giving to charity, leaving an estate to heirs. We’ll build these into your plan.GoalExpenseFrequencyBegins at AgeEnds at AgeTravel$Second Home$Gifting$Remodeling$Hobbies$Healthcare Expenses$Long Term Care Premiums$Life Insurance Premiums$$My parents are getting old – might need to cover some of their expenses$UnknownUnknownUnknownUnknown$$$$$$ ................
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