Financial Planning Questionnaire

Personal Information

Rows	Client 1	Client 2
Name
Date of Birth
Annual Income
Email
Desired Retirement Age

What is your desired monthly household income?

Summary of current investment or savings accounts. If you are an existing Baird client, do not list accounts that are held at Baird, or accounts that you have linked with 360 Wealth.

Rows	Account Owner	Current Value	Approximate Stock Allocation	Annual Contribution
IRA
Roth IRA
Brokerage Account
Trust Account
401(k)
Savings
Other
Other
Other
Other

Client One: Are you participating in a retirement plan through your employer? If so, do they make a matching contribution into your account?

Client Two: Are you participating in a retirement plan through your employer? If so, do they make a matching contribution into your account?

YesNo

If you answered yes, what is your current monthly benefit?

YesNo

If you answered yes, what is your current monthly benefit?

If you answered no, what is your estimated social security benefit at full retirement age (age 67)?

Rows	Client 1	Client 2
$

If you need assistance estimating your social security benefits, you can create an account on https://ssa.gov/ to view your updated social security statement or get a future estimate.

To have a comprehensive Social Security Analysis generated, please send a secure email to mhumphrey@rwbaird.com with a copy of your most recent social security statement.

Do you currently or anticipate in the future having any other sources of income?

Rows	Year Income Begins	Monthly Amount	Percent Survivor Benefit Pension Only
Pension
Rental Property
Part-time Employment
Other

Will this income inflate annually?

Please list any major financial goals that you would like to accomplish:

Rows	Amount Needed	What year would you like to accomplish this?	Will this goal be recurring annually?
Education
Wedding
New Home
Health Care
Travel
Major Purchase
Charitable
Donation
Other

Client One: Do you have any insurance policies you would like us to review?

Rows	Company	Owner	Beneficiary	Death Benefit	Annual Premium
Whole Life
Term Life
Long-Term Care
Disability

Client Two: Do you have any insurance policies you would like us to review?

Rows	Company	Owner	Beneficiary	Death Benefit	Annual Premium
Whole Life
Term Life
Long-Term Care
Disability

Please rank the following in order of importance to you (1= Most Important; 4= Least Important.)

Rows	Rate in order 1-4
Retirement Age
Retirement Income
Major Purchases / Lifestyle Goals
Estate and Legacy

Do you currently have estate documents in place such as a Will, Power of Attorney, Health Care Directive, Trust, etc.?

If yes, what year were these documents updated? enter year

What else should we know about your financial situation that we have not covered already? (Future sale of business or property, potential inheritance, significant debt considerations, etc.)

For a more thorough review of your non-Baird investment accounts, please send a secure email to mhumphrey@rwbaird.com with a copy of your most recent account statements.

Robert W. Baird & Co. does not offer tax or legal advice.