Pershing Account - New Submission
Timing and Client Contact Details
Priority:
Please Select
Normal
Urgent
If urgent is selected, choose a reasonable due date and be sure the correct delivery method is also selected. Communicate with New Business team with any further clarification.
Documents Requested By:
-
Month
-
Day
Year
Date
Urgency Explained:
*
Please explain the reason for urgency. Be clear as to client awareness and client readiness to respond to staff outreach
Delivery Method - be sure delivery method matches client expectations
Email / Electronic
Paper / Mailed
Paper / Team can invite client to come to office to sign with them
Paper / Give docs to Advisor
Any special consideration for this client's signing of docs?
Client Communication - our team will contact the client as needed to fulfill submissions unless NO is selected - CAN THE TEAM CONTACT THE CLIENT?
*
YES
NO - this submission is for prep only
Communication- any special considerations to manage client communication?:
Rep Details
Primary Representative:
*
Please Select
alan@clearstrategyteam.com
cieara@clearstrategyteam.com
angelo@clearstrategyteam.com
brianna@clearstrategyteam.com
devin@clearstrategyteam.com
dom@clearstrategyteam.com
elijah@clearstrategyteam.com
eric@clearstrategyteam.com
jharris@clearstrategyteam.com
mark@clearstrategyteam.com
nick@clearstrategyteam.com
paul@clearstrategyteam.com
tj@clearstrategyteam.com
todd@clearstrategyteam.com
tracy@clearstrategyteam.com
carrie@clearstrategyteam.com
melanie@clearstrategyteam.com
Servicing/Submitting Representative:
*
Please Select
alan@clearstrategyteam.com
cieara@clearstrategyteam.com
angelo@clearstrategyteam.com
brianna@clearstrategyteam.com
devin@clearstrategyteam.com
dom@clearstrategyteam.com
elijah@clearstrategyteam.com
eric@clearstrategyteam.com
jharris@clearstrategyteam.com
mark@clearstrategyteam.com
nick@clearstrategyteam.com
paul@clearstrategyteam.com
tj@clearstrategyteam.com
todd@clearstrategyteam.com
tracy@clearstrategyteam.com
carrie@clearstrategyteam.com
melanie@clearstrategyteam.com
Will there be a Split Rep/Rep Change?
*
Yes
NO
Secondary Rep in Split:
Please Select
alan@clearstrategyteam.com
angelo@clearstrategyteam.com
cieara@clearstrategyteam.com
brianna@clearstrategyteam.com
devin@clearstrategyteam.com
dom@clearstrategyteam.com
elijah@clearstrategyteam.com
eric@clearstrategyteam.com
jharris@clearstrategyteam.com
mark@clearstrategyteam.com
nick@clearstrategyteam.com
paul@clearstrategyteam.com
tj@clearstrategyteam.com
todd@clearstrategyteam.com
tracy@clearstrategyteam.com
carrie@clearstrategyteam.com
melanie@clearstrategyteam.com
Split Rep Details or Rep Change Information:
Submission Details
Have you confirmed the following details in Redtail? This submission can not proceed without this info
*
Beneficiary Names with dates of birth
Client(s) SSN
Current Income
Current Expenses
What IMPORTANT details can you provide to update client records? (budget, expenses, income...)
Have all persons related to this submission been fully onboarded?
*
YES
NO
Has Onboarding been formally requested?
YES
NO
Explain Onboarding Plan or Status since it will impact the fulfilment of this submission:
If this submission involves funds or accounts that are not managed in house, a statement is required to proceed. Does this submission involve funds or accounts that are NOT managed in house?
*
Yes
No
Has the statement been collected?
Yes
No
Where is the statement?
scanned and emailed to team or saved to client docs, saved to RT or handed to team, or on the wall?...
Please explain when and how the statement will be provided
Account Ownership Details:
Owner Name:
*
First Name
Middle Name
Last Name
Owner Employment Status:
*
Please Select
Employed
Self-Employed
Unemployed
Retired
Semi-retired (still earning income)
Joint Owner Name:
First Name
Middle Name
Last Name
Client Investment Experience:
Client Investment Knowledge
None
Limited
Good
Excellent
Client Refused to share
Annual Income:
Net Worth:
Liquid Net Worth:
Annual Living Expenses:
Please Select
$0 - $25,000
$25,001 - $50,000
$50,001 - $75,000
$75,000 - $100,000
$100,001 - $250,000
$250,001 - $500,000
Over $500,001
Range of Upcoming Special Expenses:
Please Select
$0 - $25,000
$25,001 - $50,000
$50,001 - $75,000
$75,000 - $100,000
$100,001 - $250,000
$250,001 - $500,000
Over $500,001
Time frame of the Special Expenses:
Please Select
N/A
Within 2 Years
3 - 5 Years
6 - 10 Years
Over 10 Years
Source of Wealth
Employment Income
Gift
Investment Proceeds
Sale of Business
Inheritence
Legal Settlement
Pension/IRA/Retirement Savings
Spouse or Parent
Lottery/Gambling Proceeds
Insurance Proceeds
Other
Account & Investment Details:
Investment One
Investment 1 - Investment Objective:
Please Select
Retirement
Education Savings
General Income
General Investing
Balanced
Growth and Income
Growth
Maximum Growth
Client Refused
Capital Appreciation
Capital Preservation
Speculation
Tax Advantage
Investment Purpose
*
Save for Education
General Income
Preserve Wealth
Retirement Preparation
Accumulate Wealth
Market Speculation
Save for Short Term Goals
Other
Risk Tolerance Level
*
Please Select
Risk Level 1
Risk Level 2
Risk Level 3
Risk Level 4
Risk Level 5
Account Type:
*
Please Select
Non-Qualified
Qualified
Non-Q Registration Type:
Please Select
Individual
Joint
UGMA
529 Plan
Trust
Qualified Registration Type:
Please Select
Solo 401k
Traditional IRA
Inherited IRA
Roth IRA
Inherited Roth IRA
Rollover IRA
SEP IRA
Simple IRA
Program:
Please Select
Brokerage
WMP - UMA
WMP - AMP
SEI
DirectChoice
UMA Model (Level 1):
Please Select
1.1 (Q2 24') - Cap Preservation - $5,500 Min
1.2N (Non-Q) (Q2 24') - Cap Preservation - $25k Min
1.2Q (Qualified) (Q2 24') - Cap Preservation - $25k Min
Other
UMA Model (Level 2):
Please Select
2.1 (Q2 24') - Current Income - $5,500 Min
2.2N (Non-Q) (Q2 24') - Current Income - $25k Min
2.2Q (Qualified) (Q2 24') - Current Income - $25k Min
Other
UMA Model (Level 3):
Please Select
3.1 (Q2 24') - Balanced - $5,500 Min
3.2N (Non-Q) (Q2 24') - Balanced - $25k Min
3.2Q (Qualified) (Q2 24') - Balanced - $25k Min
Other
UMA Model (Level 4):
Please Select
4.1 (Q2 24') - Cap Growth - $5,500 Min
4.2N (Non-Q) (Q2 24') - Cap Growth - $25k Min
4.2Q (Qualified) (Q2 24') - Cap Growth - $25k Min
Other
UMA Model (Level 5):
Please Select
5.1 (Q2 24') - Max Growth - $5,500 Min
5.2N (Non-Q) (Q2 24') - Max Growth - $30k Min
5.2Q (Qualified) (Q2 24") - Max Growth - $30k Min
5.3 - Geneva Small Cap - $60k Min
5.4N (Non-Q) (Q2 24') - All Stock Portfolio - $120k Min
5.4Q (Qualified) (Q2 24') - All Stock Portfolio - $120k Min
Other
AMP Fee Schedule:
Please Select
WRAP Fee (No Trade Charges, Higher Client Fee)
Client Pays Trade Charges
Funding Amount:
*
How is this account being funded? Select all that apply:
*
Cash
Brokerage Account
Annuity
401k/403b/etc
Funding Source:
*
Please Select
NEW Account - Transfer
NEW Account - Check Deposit
NEW Account - Death Claim Funding
EXISTING Account - Death Claim Funding
Rollover to New Account
Rollover to Existing Account
Other - Provide Details below
Funding Details
Employer Sponsored Plan Information
Do you know the name of their plan?
*
Yes
No
Plan name of 401k/403b/etc:
*
Does the client have access to their Form 404(a)(5) ?
Yes
No
Fund Fee (%)
Admin Fee (%)
Is the client currently employed at this company?
*
Yes
No
How much access does the plan provide?
*
No Access
Computer Advice
Phone Advice
Computer & Phone
Personal Advice
Which best describes the company's size?
*
Smaller (1-49 empls)
Midsized (50-199 empls)
Larger (200-999 empls)
Enterprise (1000+ empls)
Total amount of loans against the plan? ($)
*
Percentage of assets in company stock?
*
Is the client satisfied with plan investment options?
*
Yes
No
Does the plan offer other insurance products as a benefit?
*
Yes
No
Does the plan offer a self-directed option?
*
Yes
No
Does the plan offer life insurance as a benefit?
*
Yes
No
Would the client like to consider a cashout?
*
Yes
No
Social Security (monthly) $:
Pension (monthly) $:
Spouse - Social Security (monthly) $:
Spouse - Pension (monthly) $:
Individual FA Production Tracking
The following fields are tracked for production tracking of every Rep. Please provide accurate details for your benefit.
Money Type
*
Please Select
Existing Money
New Money
What is the current trail?
*
Please verify the trail with Carrier Company that currently holds the funds that are moving. This figure will impact appropriate production tracking.
Will this create increased or decreased revenue for the term of the investment?
*
Please Select
Increased
Decreased
Stay the Same
Will the revenue on the new investment increase or decrease compared to the current trail?
What is the total percent of increase or decrease?
*
How much will revenue increase or decrease annually?
Rebalancing Frequency - if nothing is selected, the default for NQ is NO rebalancing/the default for Q is annual. Select Default to choose these, or select Custom to provide other direction.
Please Select
Default
Custom
Please describe custom rebalancing request
Dollar Cost Average:
Please Select
6 Month (Monthly DCA)
12 Month (Monthly DCA)
6 Month (Bi-Weekly DCA)
12 Month (Bi-Weekly DCA)
Must invest model MINIMUM to start the account - DCA applies ONLY to the funds OVER the minimum
Advisor Fee:
Please Select
Fee A (1.20%)
Fee B (0.98%) Friends/Family
Fee C (0.72%) Employee
Fee D (1.09%) SEI Client
Fee E (0.97%) SEI Discount
Other: Please provide Fee Details
Fee Details:
Notes & Instructions - the more detail the better:
*
Please be specific regarding the funding of this account and any other detail to assist in account opening.
Submission #1- Beneficiary Details - do not include SS# or BD for security reasons
Distributions - IMPORTANT - Please ensure that the client & the team are clear on CURRENT distributions due to change, & NEW distribution details.
Note - the timing of account opening and funding may disrupt a clients current routine for distributions. Please advise of an interim plan for distribution(s) from another account, if needed, to keep the clients income expectations on track.
Does the account need to be setup for routine distributions?
*
Please Select
Yes
No
Will this impact an already established routine distribution in the TO or FROM account?
*
Yes
No
Please provide detail necessary to define the distribution plan
What SPECIFIC types of accounts and SPECIFIC products were discussed as an alternative to this product? Submissions require the NAMES of products and not just product types.
*
We will be asked for specific names of products and not just general types of products. Please assist by providing our team with those details.
What specifically about this product motivated you and the client to choose it?
*
Will there be another Pershing Investment?
*
yes
no
Investment Two
Investment 2 - Investment Objective:
Please Select
Retirement
Education Savings
General Income
General Investing
Goal Description:
If this submission involves funds or accounts that are not managed in house, a statement is required to proceed. Does this submission involve funds or accounts that are NOT managed in house?
*
Yes
No
Has the statement been collected?
Yes
No
Where is the statement?
scanned and emailed to team or saved to client docs, saved to RT or handed to team, or on the wall?...
Please explain when and how the statement will be provided
Funding Amount:
Funding Source:
Please Select
NEW Account - Transfer
NEW Account - Check Deposit
NEW Account - Death Claim Funding
Additional Contribution to Existing Account
Other - Add Details Below
Investment Other:
Money Type
*
Please Select
Existing Money
NEW Money
What is the current trail?
*
Will this create increased or decreased revenue for the term of the investment?
*
Please Select
Increased
Decreased
Stay the Same
What is the annual percent of increase or decrease?
*
Risk Tolerance Questionnaire Results:
Please Select
Risk Level 1
Risk Level 2
Risk Level 3
Risk Level 4
Risk Level 5
Account Type:
Please Select
Non-Qualified
Qualified
Non-Q Registration Type:
Please Select
Individual
Joint
UGMA
529 Plan
Trust
Qualified Registration Type:
Please Select
Solo 401k
Traditional IRA
Inherited IRA
Roth IRA
Inherited Roth IRA
Rollover IRA
SEP IRA
Simple IRA
Program:
Please Select
Brokerage
WMP - UMA
WMP - AMP
SEI
AMP Fee Schedule:
Please Select
WRAP Fee (No Trade Charges, Higher Client Fee)
Client Pays Trade Charges
UMA Model (Level 1):
Please Select
1.1N - Cap Preservation - Non-Q - $5,500 Min
1.2N - Cap Preservation - Non-Q - $25k Min
1.3N - Cap Preservation - Non-Q - $80k Min
1.2Q - Cap Preservation - IRA - $25k Min
1.3Q - Cap Preservation - IRA - $80k Min
Other
UMA Model (Level 2):
Please Select
2.1N - Current Income - Non-Q - $5,500 Min
2.2Na. - Current Income - Non-Q - $25k Min
2.3Na. - Current Income - Non-Q - $80k Min
2.1Q - Current Income - IRA - $5,500 Min
2.2Q - Current Income - IRA - $25k Min
2.3Q - Current Income - IRA - $80k Min
UMA Model (Level 3):
Please Select
3.1N - Balanced - Non-Q - $5,500 Min
3.2Na. - Balanced - Non-Q - $25k Min
3.3Na. - Balanced - Non-Q - $80k Min
3.1Q - Balanced - IRA - $5,500 Min
3.2Q - Balanced - IRA - $25k Min
3.3Q - Balanced - IRA - $80k Min
UMA Model (Level 4):
Please Select
4.1N - Capital Growth - Non-Q - $5,500 Min
4.2Na. - Capital Growth - Non-Q - $25k Min
4.3Na. - Capital Growth - Non-Q - $80k Min
4.1Q - Capital Growth - IRA - $5,500 Min
4.2Q - Capital Growth - IRA - $25k Min
4.3Q - Capital Growth - IRA - $80k Min
UMA Model (Level 5):
Please Select
5.1 - Max Growth - $5,500 Min
5.2 - Max Growth - $25k Min
5.3Na. - Max Growth - Non-Q - $80k Min
5.3Q - Max Growth - IRA - $80k Min
5.3 - Geneva Small Cap - $60k Min
Other
Rebalancing Frequency:
Please Select
No Rebalancing
Quarterly
Semi-Annually
Annually
Dollar Cost Average:
Please Select
6 Month (Monthly DCA)
12 Month (Monthly DCA)
6 Month (Bi-Weekly DCA)
12 Month (Bi-Weekly DCA)
Must invest model MINIMUM $ to start account - DCA applies ONLY funds over minimum
Advisor Fee:
Please Select
Fee A (1.20%)
Fee B (0.98%) Friends/Family
Fee C (0.72%) Employee
Fee D (1.09%) SEI Client
Fee E (0.97%) SEI Discount
Other:
Fee Other:
Notes & Funding Instructions:
*
Please be specific regarding the funding of this account.
Submission #2 - Beneficiary Details - do not include SS# or BD for security reasons
Will there be another WMP Investment?
Yes
Investment Three
Investment 3 - Investment Objective:
Please Select
Retirement
Education Savings
General Income
General Investing
Goal Description:
Funding Amount:
Funding Source:
Please Select
NEW Account - Transfer
NEW Account - Check Deposit
NEW Account - Death Claim Funding
Additional Contribution to Existing Account
Other - Describe Below
Investment Other
Money Type
*
Please Select
Existing Money
NEW Money
What is the current trail?
*
Will this create increased or decreased revenue for the term of the investment?
*
Please Select
Increased
Decreased
Stay the Same
What is the annual percent of increase or decrease?
*
Risk Tolerance Questionnaire Results:
Please Select
Risk Level 1
Risk Level 2
Risk Level 3
Risk Level 4
Risk Level 5
Account Type:
Please Select
Non-Qualified
Qualified
Non-Q Registration Type:
Please Select
Individual
Joint
UGMA
529 Plan
Trust
Qualified Registration Type:
Please Select
Solo 401k
Traditional IRA
Inherited IRA
Roth IRA
Inherited Roth IRA
Rollover IRA
SEP IRA
Simple IRA
Program:
Please Select
Brokerage
WMP - UMA
WMP - AMP
SEI
AMP Fee Schedule:
Please Select
WRAP Fee (No Trade Charges, Higher Client Fee)
Client Pays Trade Charges
UMA Model (Level 1):
Please Select
1.1N - Cap Preservation - Non-Q - $5,500 Min
1.2N - Cap Preservation - Non-Q - $25k Min
1.3N - Cap Preservation - Non-Q - $80k Min
1.2Q - Cap Preservation - IRA - $25k Min
1.3Q - Cap Preservation - IRA - $80k Min
Other
UMA Model (Level 2):
Please Select
2.1N - Current Income - Non-Q - $5,500 Min
2.2Na. - Current Income - Non-Q - $25k Min
2.3Na. - Current Income - Non-Q - $80k Min
2.1Q - Current Income - IRA - $5,500 Min
2.2Q - Current Income - IRA - $25k Min
2.3Q - Current Income - IRA - $80k Min
UMA Model (Level 3):
Please Select
3.1N - Balanced - Non-Q - $5,500 Min
3.2Na. - Balanced - Non-Q - $25k Min
3.3Na. - Balanced - Non-Q - $80k Min
3.1Q - Balanced - IRA - $5,500 Min
3.2Q - Balanced - IRA - $25k Min
3.3Q - Balanced - IRA - $80k Min
UMA Model (Level 4):
Please Select
4.1N - Capital Growth - Non-Q - $5,500 Min
4.2Na. - Capital Growth - Non-Q - $25k Min
4.3Na. - Capital Growth - Non-Q - $80k Min
4.1Q - Capital Growth - IRA - $5,500 Min
4.2Q - Capital Growth - IRA - $25k Min
4.3Q - Capital Growth - IRA - $80k Min
UMA Model (Level 5):
Please Select
5.1 - Max Growth - $5,500 Min
5.2 - Max Growth - $25k Min
5.3Na. - Max Growth - Non-Q - $80k Min
5.3Q - Max Growth - IRA - $80k Min
5.3 - Geneva Small Cap - $60k Min
Other
Investment Other:
Rebalancing Frequency:
Please Select
No Rebalancing
Quarterly
Semi-Annually
Annually
Dollar Cost Average:
Please Select
6 Month (Monthly DCA)
12 Month (Monthly DCA)
6 Month (Bi-Weekly DCA)
12 Month (Bi-Weekly DCA)
Must invest model MINIMUM $ to start account - DCA applies ONLY funds over minimum
Advisor Fee:
Please Select
Fee A (1.20%)
Fee B (0.98%) Friends/Family
Fee C (0.72%) Employee
Fee D (1.09%) SEI Client
Fee E (0.97%) SEI Discount
Other:
Fee Other:
Notes & Funding Instructions:
*
Please be specific regarding the funding of this account.
Submission #3 - Beneficiary Details - do not include SS# or BD for security reasons
Submit
Should be Empty: