Fact Finder

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Fact Finder

Profiles Forecaster

Mapping Your Financial Future Preparing for your financial future involves following a disciplined process that involves identifying your goals and exploring financial strategies. These six steps will help you map your financial future: 1. 2. 3. 4. 5. 6.

Discovery – Identify and prioritize your financial goals Data Gathering – Collect facts and figures based on your current situation Analyze – Input data and run calculations and identify shortfalls Recommend – Propose a financial strategy designed to satisfy your goals Implement – Choose a financial strategy and implement Periodic Review – Review regularly to measure success and make adjustments

The purpose of this questionnaire is to help gather data as part of steps one and two. By taking the time to prepare now, you may be able to lay out a path for your financial future.

What concerns you the most? There are a number of different areas to consider when preparing for your financial future. Start now by identifying your financial goals. Which of the following areas are important to you?  Needs in the Event of Death  College Funding

Examine the financial impact of death, including immediate cash needs and continuing income needs. Find out the cost of education and alternative funding methods.

Complete these sections 1, 2, 5, 6, 7 1, 3

 Retirement

Assess how your current retirement strategy will meet your objective.

 Asset Allocation

Examine your current asset allocation strategy in relation to your risk tolerance.

 Disability Income

Assess the financial effect of a disability on your income.

1, 8

 Long-Term Care

Evaluate the impact that long-term care costs can have on your financial future.

1, 9

Client A Name (please print)

Client B Name (please print)

1, 4, 5, 6, 7 1, 5, 6

(plus the asset allocation questionnaire)

Date

This form may be printed by licensed users of Profiles Forecaster software for personal and client use. Reproduction for redistribution purposes is not permitted without the prior approval of Advicent Solutions, Inc. © Copyright 2016 Advicent Solutions LP and its affiliated companies (Advicent Solutions). All rights reserved. Advicent Solutions™, and Profiles™ are trademarks of Advicent Solutions.

Fact Finder

Profiles Forecaster

Section 1 - Personal Information Marital Status

 Single

 Married

 Domestic Partner

Client A

Client B

First Name Middle Name Last Name Date of Birth Address City

State

Phone

E-mail

Employment Information

Client A

Zip

Client B

Employer Occupation Phone For Discussion • Describe your current job? • How long have you been working there? • What are your career plans?

Dependent Information Child’s Name

Date of Birth

Child’s Name

Date of Birth

For Discussion • Do any of your dependents have special needs? • Do you plan on having additional children? • Are there others that financially depend on you (e.g., parents, grandchildren)? • Do any of your family members live in this area?

This form may be printed by licensed users of Profiles Forecaster software for personal and client use. Reproduction for redistribution purposes is not permitted without the prior approval of Advicent Solutions, Inc. © Copyright 2016 Advicent Solutions LP and its affiliated companies (Advicent Solutions). All rights reserved.

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Fact Finder

Profiles Forecaster

Section 2 - Survivor Needs The death of a wage earner can have a significant impact on household income. Financial experts recommend that every strategy include an analysis of needs in the event of a death. Survivor Income Needs In the event of death, what income (percent or dollar/mo.) should be provided for your family’s continuing needs?

With children at home

Without children at home

% or $

% or $

What age should Survivor’s Social Security Retirement benefits begin? Provided income for how long?

years or

In the event of death, should your children’s education be funded? (If yes, also complete Section 3.) Current Life Insurance Name of Insured

Insurance Benefit

Insurance Company

 Yes  No

Annual Premium

$

$

$

$

$

$

$

$

*Insurance types include: Group, Term, Whole Life, Universal Life, and Other

 Lifetime

Type*

For Discussion • What do you want your life insurance to do for you? • When did you buy your last policy? From whom? • Does your family have any special interests or health conditions that could affect your insurance planning?

Section 3 - College Funding Many people want to help fund education costs for their children. The sooner you begin to develop a strategy for education savings, the more time your money will have to accumulate. Child’s Name

Average College Cost 2015 – 2016 $19,548 Public College Private College $43,921

Source: Annual Survey of Colleges 2015. Copyright © 2015 The College Board. This material may not be copied, published, rewritten or redistributed without permission.

College Cost Search *

School

Amount Needed per year

OR

Years to Attend

Percent to provide

 Yes

$

yrs

%

 Yes

$

yrs

%

 Yes

$

yrs

%

 Yes

$

yrs

%

 Yes

$

yrs

%

* Include in college costs:  Tuition (in-state);  Tuition (Out-of-state);  Room only;  Room & Board;  Books & Supplies

Current Savings Enter any savings already accumulated for your children’s education. Total saved to date

$

Monthly Savings

Average Rate of Return

$

%

For Discussion • Would you like them to go to the college of their choice? • How do you feel about your college funding program? This form may be printed by licensed users of Profiles Forecaster software for personal and client use. Reproduction for redistribution purposes is not permitted without the prior approval of Advicent Solutions, Inc. © Copyright 2016 Advicent Solutions LP and its affiliated companies (Advicent Solutions). All rights reserved.

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Fact Finder

Profiles Forecaster

Section 4 - Retirement Many people underestimate the amount of money they will need in retirement. Begin saving for your retirement income as soon as possible. Client A Client B At what age do you plan to retire? At what age will you begin to collect Social Security? Indicate your retirement need as either a percent of current income or a dollar amount for up to three phases.  Percentage of current income (e.g., 80%)  Monthly need (in today’s dollars) % Phase 1 starts at $ retirement Phase 2 starts at age

$

Phase 3 starts at age

$

For Discussion • Does your employer offer a retirement plan? • Are you contributing the maximum?

Section 5 - Earnings and Assets Enter your annual employment income in this section. Include income received from employers as well as selfemployment income. All other sources of income should be entered in the Other Income/Expenses section. Earnings Client A Client B Annual Employment Income

$

Do you contribute to Social Security?

$  Yes  No

 Yes  No

Assets and Liabilities In this section include your residence, personal property, real estate, and business assets. Do not include any retirement or investment assets, those will be included in Section 6. Personal Residence  Rent - Monthly Rent $ 

Own - Mortgage Balance

Details for Mortgage Name

Credit Cards and Personal Loan

$ $

Market Value

$

$

Mortgage Balance

$

Monthly Payment

Interest Rate

%

total or use details below

Details for Credit Cards and Personal Loans Name Amount

$ $ $ $

$ $ $ $

Monthly Payment

Final Payment Date

Interest Rate

% % % %

Additional Asset and Liabilities Details Type*

Name

*Types include: Personal Property, Real Estate and Business

$ $ $

Market Value

$ $ $

Current Liability

This form may be printed by licensed users of Profiles Forecaster software for personal and client use. Reproduction for redistribution purposes is not permitted without the prior approval of Advicent Solutions, Inc. © Copyright 2016 Advicent Solutions LP and its affiliated companies (Advicent Solutions). All rights reserved.

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Fact Finder

Profiles Forecaster

Section 6 - Savings and Investments Please provide information regarding retirement plans you may have. Include IRAs, Roth IRAs, SEP IRAs, SIMPLE IRAs, 401(k)s (including any employer match), 403(b)s, Profit Sharing Plans, 457 plans, variable annuities, etc. Retirement Funds For this section either enter total amounts or details Total Amount

Total Monthly Savings

$

Average Rate of Return

$

%

Details for Retirement Funds (attach statement or complete section below) Owner

Account Name

Asset Name

Amount

Monthly Savings

Savings Increase

% $

$

%

$

% $

$

%

$

% $

$

%

$

% $

$

%

$

% $

$

%

$

% $

$

%

$

% $

$

%

Total Amount

Total Monthly Savings

Average Rate of Return

$

%

Details for Bank Accounts and Investments (attach statement or complete section below) Owner

Company Match

$

Bank Accounts and Investments For this section either enter total amounts or details $

Rate of Return

Account Name

Asset Name

Amount

Rate of Return

Monthly Savings

Savings Increase

$

% $

%

$

% $

%

$

% $

%

$

% $

%

$

% $

%

$

% $

%

$

% $

%

For Discussion • What is the best investment you’ve made? • What is the worst investment you’ve made? • How do you feel about your investments? • What percentage of your income should be saved? This form may be printed by licensed users of Profiles Forecaster software for personal and client use. Reproduction for redistribution purposes is not permitted without the prior approval of Advicent Solutions, Inc. © Copyright 2016 Advicent Solutions LP and its affiliated companies (Advicent Solutions). All rights reserved.

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Fact Finder

Profiles Forecaster

Section 7 - Other Income and Expenses Other Income

Enter other income sources that you currently receive or expect to receive in the future. Be sure to include alimony, child support, defined benefit pension plans, fixed annuities, part-time income during retirement, expected inheritance, etc. Type 1

Name

Recipient

Present or Annual Amount 2 Future Value Increase

Begin When?

 Client A  Client B

$

 Present  Future

%

 Client A  Client B

$

 Present  Future

%

 Client A  Client B

$

 Present  Future

%

 Client A  Client B

$

 Present  Future

%

 Client A  Client B

$

 Present  Future

%

 Client A  Client B

$

 Present  Future

%

                 

Today Retirement Year _____ Today Retirement Year _____ Today Retirement Year _____ Today Retirement Year _____ Today Retirement Year _____ Today Retirement Year _____

End When?

                 

Retirement Death Year _____ Retirement Death Year _____ Retirement Death Year _____ Retirement Death Year _____ Retirement Death Year _____ Retirement Death Year _____

Income Applies to

 Retirement  Survivor A Dies  Survivor B Dies  Retirement  Survivor A Dies  Survivor B Dies  Retirement  Survivor A Dies  Survivor B Dies  Retirement  Survivor A Dies  Survivor B Dies  Retirement  Survivor A Dies  Survivor B Dies  Retirement  Survivor A Dies  Survivor B Dies

1 Other Income, Social Security or Lump-Sum 2 All amounts are monthly amounts except a Lump Sum, which is a single payment.

Expenses

Enter the living expenses to be listed in the cash flow reports. If monthly savings and liabilities have been included in Sections 5 and 6, then do not include those expenses here. Expense Name

Monthly Amount

Annual Amount

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

For Discussion • Do you have a cash flow strategy? • What changes could be made to your current budget? This form may be printed by licensed users of Profiles Forecaster software for personal and client use. Reproduction for redistribution purposes is not permitted without the prior approval of Advicent Solutions, Inc. © Copyright 2016 Advicent Solutions LP and its affiliated companies (Advicent Solutions). All rights reserved.

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Fact Finder

Profiles Forecaster

Section 8 - Disability Income Disability Income Needs

Client A

Annual Employment Income

Client B

$

$

Income Replacement Objective

% of above

% of above

Current Long-Term Disability Insurance Client A

Monthly Benefit Disability Insurance Details Name of Insured

Insurance Company

Client B

$

$ Monthly Benefit

totals or use details below

Group or Personal

Annual Premium

$

$

$

$

$

$

$

$

Waiting Period 1

Benefit Period 2

1 Waiting Period options: 1 month, 2 months, 3 months, 6 months or 12 months. 2 Benefit Period options 3 months, 6 months, 1 year, 2 years, 3 years, 4 years, 5 years, to age 65, or Lifetime.

For Discussion • What does your current disability plan provide? • How do you feel about your current plan?

Section 9 - Long-Term Care Long-term care expenses can have a tremendous impact on a family’s financial security. Having sufficient insurance coverage can help assure there is enough money for adequate care. Estimated monthly long-term care costs (in today’s dollars):

$

Existing Long-Term Care Coverage Name of Insured

Insurance Company

Daily Benefit

Annual Premium

$

$

$

$

$

$

$

$

Elimination Period (Days)

Benefit Period (Years)

For Discussion • Has anyone in your family experienced a long-term care need? • Do you need to replace your income if you are unable to work? • Will you be caring for elderly parents in the future? This form may be printed by licensed users of Profiles Forecaster software for personal and client use. Reproduction for redistribution purposes is not permitted without the prior approval of Advicent Solutions, Inc. © Copyright 2016 Advicent Solutions LP and its affiliated companies (Advicent Solutions). All rights reserved.

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Fact Finder

Profiles Forecaster

Who Could Benefit from an Analysis? Name

Employer

Address City

State

E-mail

Home #

Name

Zip Work #

Employer

Address City

State

E-mail

Home #

Name

Zip Work #

Employer

Address City

State

E-mail

Home #

Zip Work #

Notes

Declaration I declare that I have reviewed the information collected in this data sheet and that it is correct to the best of my knowledge.

Client A Printed Name

Signature

Date

Client B Printed Name

Signature

Date

This form may be printed by licensed users of Profiles Forecaster software for personal and client use. Reproduction for redistribution purposes is not permitted without the prior approval of Advicent Solutions, Inc. © Copyright 2016 Advicent Solutions LP and its affiliated companies (Advicent Solutions). All rights reserved.

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