Financial lifestyle FACT FINDER
FINANCIAL LIFESTYLE FACT FINDER Hank Parrott, ChFC©, AEP©, RFC©
For more information, email:
[email protected]
1
About Us
It’s never too early or too late to start planning, so let us help you to maximize your retirement income and minimize your risk, while also helping you to reduce taxes. We specialize in asset protection and preservation which we believe to be at least as important as getting the best return on your money. Most of our clients are retired or near retirement; therefore, our first priority is to assure you have a safe, secure and prosperous retirement. With over 20 years in the financial services industry, Hank Parrott is a seasoned financial planning veteran who has dedicated his career to helping retirees safely preserve, protect and proliferate their assets. Hank employs only the most proven methods coupled with the most innovative strategies guaranteed to help retirees protect and grow their estate and, in doing so, safeguard their and their family’s – financial future. Each of Hank’s clients throughout Tennessee and the southeast region receive an in-depth personal situation analysis to determine their unique, individualized needs and goals, so that a custom-tailored financial plan can be meticulously crafted. As Hank’s desire to earn his client’s trust is first and foremost, he takes great care to educate and inform them each step along the way. This ensures his clients are completely knowledgeable of, and in agreement with, the intended asset protection and growth strategies that will work toward their goal. But his personalized service does not stop there. Once a plan has been put into action, Hank continues to closely monitor results and make modifications as required to ensure the program’s success. These are just some of the many reasons Hank Parrott has earned the respect, trust and gratitude of his mature client base, who are dealing with these all-important, yet complex, issues. Hank’s clients benefit from his extensive training and experience in the specialized areas of Retirement Planning, Tax Planning, Investment Planning, Financial Planning, Insurance Planning, Employee Benefits, Annuities, Family Limited Partnerships, Charitable Remainder Trusts, LongTerm Care and Advanced and Basic Estate Planning for estates of all sizes. Tax reduction services include that related to income, federal estate, capital gains and state inheritance taxes, and strategies to eliminate probate costs. In addition, he employs financial planning techniques that are guaranteed to both increase his client’s spendable income and help them avoid Medicaid spend-down of their assets in the event home care is needed.
Important Notice
FEFLA and Estate & Financial Strategies, Inc. requires that a Financial Planner making financial product recommendations must have reasonable grounds for making those recommendations. This means that a Financial Planner must conduct appropriate investigations as to the financial objectives, situation and particular needs of the client. The information requested in this form is necessary to enable recommendations to be made and will be used solely for that purpose. FEFLA and Estate & Financial Strategies, Inc. accepts no liability for any advice given on the basis of inaccurate or incomplete information provided by the client. The information collected within this Fact Finder is strictly confidential between you and FEFLA and Estate & Financial Strategies, Inc. 750 Old Hickory Boulevard Building One, Suite 100 Brentwood, TN 37027 Tel. (615) 376-5325 Fax: (615) 376-5328 www.hankparrott.com
FINANCIAL LIFESTYLEFACT FINDER | Hank Parrott, ChFC©, AEP©, RFC©
2
Personal Details Title / Rank Last Name First Name Preferred Name Date of Birth (MM/DD/YYYY) Marital Status
Client 1
Client 2
Contact Details Address Type Street Address 1 Street Address 2 City State Postal Code Work Phone (XXX-XXX-XXXX) Home Phone (XXX-XXX-XXXX) Mobile Phone (XXX-XXX-XXXX) Email
Client 1 Home / Business / Other
Client 2 Home / Business / Other
Employment Details
Occupation Type Occupational Position / Title Duties Employer When do you want to Retire? (Date or Age?
Client 1 Employed Self Employed Unemployed Retired Other
Client 2 Employed Self Employed Unemployed Retired Other
FINANCIAL LIFESTYLEFACT FINDER | Hank Parrott, ChFC©, AEP©, RFC©
3
Child Details (whether dependent or not) Name
Age
City & State
Gender
Financially Dependent?
Dependent until Age
Gender
Financially Dependent?
Dependent until Age
Grandchildren Name
Age
Parent
Parents (if living) Name
Age
City & State
Financially Dependent?
FINANCIAL LIFESTYLEFACT FINDER | Hank Parrott, ChFC©, AEP©, RFC©
4
Estate Planning Details Do you have a Will?
(Date of Will – MM/DD/YYYY)
Do you have a Trust?
(Date of Trust – MM/DD/YYYY)
Do you have Powers of Attorney?
(Date of POA – MM/DD/YYYY)
Recent Amendments? (MM/DD/YYYY)
Governing State
Yes No Yes No
Client 1 ____/____/_____ ____/____/_____
Yes No Yes No
Client 2 ____/____/_____ ____/____/_____
Yes No
____/____/_____
Yes No
____/____/_____
Yes No
____/____/_____
Yes No
____/____/_____
Other Details Do you have Health Insurance? Do you have Life Insurance? Do you have Long-term Care Insurance? Potential Health Problems? Do you Smoke? Are you a Veteran?
Yes No Yes No Yes No Yes No Yes No Yes No
Client 1
Yes No Yes No Yes No Yes No Yes No Yes No
Client 2
Source/Referral How did you hear about us? The Retirement Report (Television) 7 Steps to Financial Freedom (Book) Other: ___________________________
Referral: ___________________________ Radio Internet Search (e.g. Google, Yahoo!, etc.)
FINANCIAL LIFESTYLEFACT FINDER | Hank Parrott, ChFC©, AEP©, RFC©
5
Professional Advisors Type
Name
Company
Accountant Insurance Agent Attorney Financial Advisor Other
Objective(s) – Check All That Apply Increase my standard of living
Simplify my financial affairs
College funding Provide for my family in the event of my death Minimize the cost of probate & estate taxes Control the distribution of my assets to heirs Long-term Care Protection Planning
Review my investment portfolio(s)
Other: ________________________
Financial security at retirement Review the future taxation of my IRA, 401(k), TSP Reduce my tax burden
General Briefly explain your concerns and how you feel we may be able to help you: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________
FINANCIAL LIFESTYLEFACT FINDER | Hank Parrott, ChFC©, AEP©, RFC©
6
Income Salary/Wages
Client 1
Client 2
Client 1
Client 2
Client 1
Client 2
Business Income
Taxable Investment(s) Interest Dividend Rents/Partnerships Other Other Other Other
Miscellaneous Income Pension 1 Pension 2 Pension 1: Cost of Living Adjustment? (Y / N) Pension 2: Cost of Living Adjustment? (Y / N) Social Security Other Other
FINANCIAL LIFESTYLEFACT FINDER | Hank Parrott, ChFC©, AEP©, RFC©
7
Assets Checking, Savings, Money Market, CDs, Cash, etc. – Banking or Cash Accounts Bank or Company
Account Type
Balance
E.g. Checking, Savings, Money Market
Interest Rate
Term
Owner
$ $ $ $ $ $ $ $ $ Mutual Funds Description
Numbers of
Market Value
Shares
Original Cost
Cost Basis
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Owner
FINANCIAL LIFESTYLEFACT FINDER | Hank Parrott, ChFC©, AEP©, RFC©
8 Stocks/Bonds Description
Owner
Market Value
Cost Basis
$
$
$
$
$
$
$
$
$
$
Number of Shares
Annuities
Company
Owner
Accumulation Value
Surrender Value
Premium
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Origin Date
Fixed, Variable, or Fixed Indexed?
Company Retirement Plans (E.g. 401(k), 403(b), TSP etc.) and IRA’s or Roth’s Account Type Company
E.g. IRA, 403(b), 401(k),
Balance
Interest Rate
Owner
Roth
$ $ $ $ $ $ $ $ $
FINANCIAL LIFESTYLEFACT FINDER | Hank Parrott, ChFC©, AEP©, RFC©
9
Partnerships Description
Type
Units
Value
Owner
Market Value
Owner
$ $ $ $ $ $ $ $ $ Real Estate (Including Residence) Description & Date
Type (E.g. Residence,
Acquired
Rental, Commercial)
Original Cost
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
FINANCIAL LIFESTYLEFACT FINDER | Hank Parrott, ChFC©, AEP©, RFC©
10
Liabilities Description & Date
Current Balance
Acquired
Original Amount
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Loan Term (months)
Interest Rate
Owner
Insurance Company
Origin Date
Cash Value
Owner/Insured
Face Value
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Type (IUL, Term, etc.)
FINANCIAL LIFESTYLEFACT FINDER | Hank Parrott, ChFC©, AEP©, RFC©
11 Disability, Long-term Care, and Umbrella Policies Company
Origin Date
Benefit or Premium
Owner/Insured
FINANCIAL LIFESTYLEFACT FINDER | Hank Parrott, ChFC©, AEP©, RFC©
For more information, email:
[email protected]
1
About Us
It’s never too early or too late to start planning, so let us help you to maximize your retirement income and minimize your risk, while also helping you to reduce taxes. We specialize in asset protection and preservation which we believe to be at least as important as getting the best return on your money. Most of our clients are retired or near retirement; therefore, our first priority is to assure you have a safe, secure and prosperous retirement. With over 20 years in the financial services industry, Hank Parrott is a seasoned financial planning veteran who has dedicated his career to helping retirees safely preserve, protect and proliferate their assets. Hank employs only the most proven methods coupled with the most innovative strategies guaranteed to help retirees protect and grow their estate and, in doing so, safeguard their and their family’s – financial future. Each of Hank’s clients throughout Tennessee and the southeast region receive an in-depth personal situation analysis to determine their unique, individualized needs and goals, so that a custom-tailored financial plan can be meticulously crafted. As Hank’s desire to earn his client’s trust is first and foremost, he takes great care to educate and inform them each step along the way. This ensures his clients are completely knowledgeable of, and in agreement with, the intended asset protection and growth strategies that will work toward their goal. But his personalized service does not stop there. Once a plan has been put into action, Hank continues to closely monitor results and make modifications as required to ensure the program’s success. These are just some of the many reasons Hank Parrott has earned the respect, trust and gratitude of his mature client base, who are dealing with these all-important, yet complex, issues. Hank’s clients benefit from his extensive training and experience in the specialized areas of Retirement Planning, Tax Planning, Investment Planning, Financial Planning, Insurance Planning, Employee Benefits, Annuities, Family Limited Partnerships, Charitable Remainder Trusts, LongTerm Care and Advanced and Basic Estate Planning for estates of all sizes. Tax reduction services include that related to income, federal estate, capital gains and state inheritance taxes, and strategies to eliminate probate costs. In addition, he employs financial planning techniques that are guaranteed to both increase his client’s spendable income and help them avoid Medicaid spend-down of their assets in the event home care is needed.
Important Notice
FEFLA and Estate & Financial Strategies, Inc. requires that a Financial Planner making financial product recommendations must have reasonable grounds for making those recommendations. This means that a Financial Planner must conduct appropriate investigations as to the financial objectives, situation and particular needs of the client. The information requested in this form is necessary to enable recommendations to be made and will be used solely for that purpose. FEFLA and Estate & Financial Strategies, Inc. accepts no liability for any advice given on the basis of inaccurate or incomplete information provided by the client. The information collected within this Fact Finder is strictly confidential between you and FEFLA and Estate & Financial Strategies, Inc. 750 Old Hickory Boulevard Building One, Suite 100 Brentwood, TN 37027 Tel. (615) 376-5325 Fax: (615) 376-5328 www.hankparrott.com
FINANCIAL LIFESTYLEFACT FINDER | Hank Parrott, ChFC©, AEP©, RFC©
2
Personal Details Title / Rank Last Name First Name Preferred Name Date of Birth (MM/DD/YYYY) Marital Status
Client 1
Client 2
Contact Details Address Type Street Address 1 Street Address 2 City State Postal Code Work Phone (XXX-XXX-XXXX) Home Phone (XXX-XXX-XXXX) Mobile Phone (XXX-XXX-XXXX) Email
Client 1 Home / Business / Other
Client 2 Home / Business / Other
Employment Details
Occupation Type Occupational Position / Title Duties Employer When do you want to Retire? (Date or Age?
Client 1 Employed Self Employed Unemployed Retired Other
Client 2 Employed Self Employed Unemployed Retired Other
FINANCIAL LIFESTYLEFACT FINDER | Hank Parrott, ChFC©, AEP©, RFC©
3
Child Details (whether dependent or not) Name
Age
City & State
Gender
Financially Dependent?
Dependent until Age
Gender
Financially Dependent?
Dependent until Age
Grandchildren Name
Age
Parent
Parents (if living) Name
Age
City & State
Financially Dependent?
FINANCIAL LIFESTYLEFACT FINDER | Hank Parrott, ChFC©, AEP©, RFC©
4
Estate Planning Details Do you have a Will?
(Date of Will – MM/DD/YYYY)
Do you have a Trust?
(Date of Trust – MM/DD/YYYY)
Do you have Powers of Attorney?
(Date of POA – MM/DD/YYYY)
Recent Amendments? (MM/DD/YYYY)
Governing State
Yes No Yes No
Client 1 ____/____/_____ ____/____/_____
Yes No Yes No
Client 2 ____/____/_____ ____/____/_____
Yes No
____/____/_____
Yes No
____/____/_____
Yes No
____/____/_____
Yes No
____/____/_____
Other Details Do you have Health Insurance? Do you have Life Insurance? Do you have Long-term Care Insurance? Potential Health Problems? Do you Smoke? Are you a Veteran?
Yes No Yes No Yes No Yes No Yes No Yes No
Client 1
Yes No Yes No Yes No Yes No Yes No Yes No
Client 2
Source/Referral How did you hear about us? The Retirement Report (Television) 7 Steps to Financial Freedom (Book) Other: ___________________________
Referral: ___________________________ Radio Internet Search (e.g. Google, Yahoo!, etc.)
FINANCIAL LIFESTYLEFACT FINDER | Hank Parrott, ChFC©, AEP©, RFC©
5
Professional Advisors Type
Name
Company
Accountant Insurance Agent Attorney Financial Advisor Other
Objective(s) – Check All That Apply Increase my standard of living
Simplify my financial affairs
College funding Provide for my family in the event of my death Minimize the cost of probate & estate taxes Control the distribution of my assets to heirs Long-term Care Protection Planning
Review my investment portfolio(s)
Other: ________________________
Financial security at retirement Review the future taxation of my IRA, 401(k), TSP Reduce my tax burden
General Briefly explain your concerns and how you feel we may be able to help you: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________
FINANCIAL LIFESTYLEFACT FINDER | Hank Parrott, ChFC©, AEP©, RFC©
6
Income Salary/Wages
Client 1
Client 2
Client 1
Client 2
Client 1
Client 2
Business Income
Taxable Investment(s) Interest Dividend Rents/Partnerships Other Other Other Other
Miscellaneous Income Pension 1 Pension 2 Pension 1: Cost of Living Adjustment? (Y / N) Pension 2: Cost of Living Adjustment? (Y / N) Social Security Other Other
FINANCIAL LIFESTYLEFACT FINDER | Hank Parrott, ChFC©, AEP©, RFC©
7
Assets Checking, Savings, Money Market, CDs, Cash, etc. – Banking or Cash Accounts Bank or Company
Account Type
Balance
E.g. Checking, Savings, Money Market
Interest Rate
Term
Owner
$ $ $ $ $ $ $ $ $ Mutual Funds Description
Numbers of
Market Value
Shares
Original Cost
Cost Basis
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Owner
FINANCIAL LIFESTYLEFACT FINDER | Hank Parrott, ChFC©, AEP©, RFC©
8 Stocks/Bonds Description
Owner
Market Value
Cost Basis
$
$
$
$
$
$
$
$
$
$
Number of Shares
Annuities
Company
Owner
Accumulation Value
Surrender Value
Premium
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Origin Date
Fixed, Variable, or Fixed Indexed?
Company Retirement Plans (E.g. 401(k), 403(b), TSP etc.) and IRA’s or Roth’s Account Type Company
E.g. IRA, 403(b), 401(k),
Balance
Interest Rate
Owner
Roth
$ $ $ $ $ $ $ $ $
FINANCIAL LIFESTYLEFACT FINDER | Hank Parrott, ChFC©, AEP©, RFC©
9
Partnerships Description
Type
Units
Value
Owner
Market Value
Owner
$ $ $ $ $ $ $ $ $ Real Estate (Including Residence) Description & Date
Type (E.g. Residence,
Acquired
Rental, Commercial)
Original Cost
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
FINANCIAL LIFESTYLEFACT FINDER | Hank Parrott, ChFC©, AEP©, RFC©
10
Liabilities Description & Date
Current Balance
Acquired
Original Amount
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Loan Term (months)
Interest Rate
Owner
Insurance Company
Origin Date
Cash Value
Owner/Insured
Face Value
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Type (IUL, Term, etc.)
FINANCIAL LIFESTYLEFACT FINDER | Hank Parrott, ChFC©, AEP©, RFC©
11 Disability, Long-term Care, and Umbrella Policies Company
Origin Date
Benefit or Premium
Owner/Insured
FINANCIAL LIFESTYLEFACT FINDER | Hank Parrott, ChFC©, AEP©, RFC©
