BALANCE SHEET

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BALANCE SHEET

Please list every asset and liability below and bring this to your first meeting along with a copy of your most recent account statements. ASSETS SAVINGS AND INVESTMENT ACCOUNTS Owner

Company

Type

Approximate Value

Client

Spouse

IRA

Retirement Plan

Non-IRA

Joint

Trust

Savings

Checking

Other

Client

Spouse

IRA

Retirement Plan

Non-IRA

Joint

Trust

Savings

Checking

Other

Client

Spouse

IRA

Retirement Plan

Non-IRA

Joint

Trust

Savings

Checking

Other

Client

Spouse

IRA

Retirement Plan

Non-IRA

Joint

Trust

Savings

Checking

Other

Client

Spouse

IRA

Retirement Plan

Non-IRA

Joint

Trust

Savings

Checking

Other

Client

Spouse

IRA

Retirement Plan

Non-IRA

Joint

Trust

Savings

Checking

Other

Client

Spouse

IRA

Retirement Plan

Non-IRA

Joint

Trust

Savings

Checking

Other

Client

Spouse

IRA

Retirement Plan

Non-IRA

Joint

Trust

Savings

Checking

Other

Client

Spouse

IRA

Retirement Plan

Non-IRA

Joint

Trust

Savings

Checking

Other

Client

Spouse

IRA

Retirement Plan

Non-IRA

Joint

Trust

Savings

Checking

Other

Client

Spouse

IRA

Retirement Plan

Non-IRA

Joint

Trust

Savings

Checking

Other

Client

Spouse

IRA

Retirement Plan

Non-IRA

Joint

Trust

Savings

Checking

Other

$

$

$

$

$

$

$

$

$

$

$

$

REAL ESTATE Owner

Property Type

Client

Spouse

Joint

Trust

Client

Spouse

Joint

Trust

Client

Spouse

Joint

Trust

Location (City/State)

Approximate Value

Primary Residence

Investment Property

$

Primary Residence

Investment Property

$

Primary Residence

Investment Property

$

Copyright © 2015, INSIGHT FINANCIAL SERVICES LLC. All Rights Reserved. Securities and advisory services offered through National Planning Corporation (NPC), Member FINRA/SIPC, a Registered Investment Adviser. Additional advisory services offered through IFS Advisors, LLC (IFSA), a Registered Investment Adviser. IFSA, Insight Financial Services and NPC are separate and unrelated companies.

BALANCE SHEET

ASSETS - CONTINUED OTHER ASSETS Owner

Description

Type

Approximate Value

Client

Spouse

Business

Vehicle

Equipment

Joint

Trust

Jewelry

Collectibles

Other

Client

Spouse

Business

Vehicle

Equipment

Joint

Trust

Jewelry

Collectibles

Other

Client

Spouse

Business

Vehicle

Equipment

Joint

Trust

Jewelry

Collectibles

Other

Client

Spouse

Business

Vehicle

Equipment

Joint

Trust

Jewelry

Collectibles

Other

Client

Spouse

Business

Vehicle

Equipment

Joint

Trust

Jewelry

Collectibles

Other

Client

Spouse

Business

Vehicle

Equipment

Joint

Trust

Jewelry

Collectibles

Other

Client

Spouse

Business

Vehicle

Equipment

Joint

Trust

Jewelry

Collectibles

Other

Client

Spouse

Business

Vehicle

Equipment

Joint

Trust

Jewelry

Collectibles

Other

Client

Spouse

Business

Vehicle

Equipment

Joint

Trust

Jewelry

Collectibles

Other

Client

Spouse

Business

Vehicle

Equipment

Joint

Trust

Jewelry

Collectibles

Other

Client

Spouse

Business

Vehicle

Equipment

Joint

Trust

Jewelry

Collectibles

Other

$

$

$

$

$

$

$

$

$

$

$

Life Insurance Owner

Beneficiary

Client

Spouse

Joint

Trust

Client

Spouse

Joint

Trust

Client

Spouse

Joint

Trust

Client

Spouse

Type Term

Other Client

Term

Other

Death Benefit

$

$

$

$

$

$

Cash Value Other

Spouse Other

Cash Value

Other Spouse

Client

Company

Cash Value

Term

Cash Value Other Long-Term Care Insurance

Copyright © 2015, INSIGHT FINANCIAL SERVICES LLC. All Rights Reserved. Securities and advisory services offered through National Planning Corporation (NPC), Member FINRA/SIPC, a Registered Investment Adviser. Additional advisory services offered through IFS Advisors, LLC (IFSA), a Registered Investment Adviser. IFSA, Insight Financial Services and NPC are separate and unrelated companies.

BALANCE SHEET

LIABILITIES MORTGAGE Owner

Property Type

Client

Spouse

Joint

Trust

Client

Spouse

Joint

Trust

Property Value

Mortgage Amount

Primary Residence

Investment Property

$

$

Primary Residence

Investment Property

$

$

AUTO LOANS Owner

Year

Client

Spouse

Joint

Trust

Client

Spouse

Joint

Trust

Make

Model

Value

Loan Amount

$

$

$

$

GENERAL DEBTS Owner

Company

Client

Spouse

Joint

Trust

Client

Spouse

Joint

Trust

Client

Spouse

Joint

Trust

Client

Spouse

Joint

Trust

Client

Spouse

Joint

Trust

Client

Spouse

Joint

Trust

Client

Spouse

Joint

Trust

Client

Spouse

Joint

Trust

Client

Spouse

Joint

Trust

Type

Approximate Debt

Credit Card

Student Loan

Other

$

Credit Card

Student Loan

Other

$

Credit Card

Student Loan

Other

$

Credit Card

Student Loan

Other

$

Credit Card

Student Loan

Other

$

Credit Card

Student Loan

Other

$

Credit Card

Student Loan

Other

$

Credit Card

Student Loan

Other

$

Credit Card

Student Loan

Other

$

Copyright © 2015, INSIGHT FINANCIAL SERVICES LLC. All Rights Reserved. Securities and advisory services offered through National Planning Corporation (NPC), Member FINRA/SIPC, a Registered Investment Adviser. Additional advisory services offered through IFS Advisors, LLC (IFSA), a Registered Investment Adviser. IFSA, Insight Financial Services and NPC are separate and unrelated companies.