Confidential Profile
  • Confidential Profile

  • This comprehensive, personal financial planning summary is designed to help you take inventory and assign realistic values to your personal assets and liabilities. It is the essential first step in organizing a sensible financial plan for your future. Once you have completed the following information, please return this packet.

  • Family Information

  • DOB
     / /
  • DOB
     / /
  • Wedding Anniversary Date
     / /
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Type Referral
  • Occupation

  • Format: (000) 000-0000.
  • Retirement Date
     / /
  • Format: (000) 000-0000.
  • Retirement Date
     / /
  • Personal Advisors

  • Format: (000) 000-0000.
  • Are you committed to working with this advisor?
  • Format: (000) 000-0000.
  • Are you committed to working with this attorney?
  • Format: (000) 000-0000.
  • Are you committed to working with this Accountant?
  • Format: (000) 000-0000.
  • Are you committed to working with this Insurance Agent?
  • Wealth Planning

    Focusing on holistic Wealth Planning also encompasses non-financial objective. A Wealth Plan is a GPS designed to effectively guide you toward your life goals.

  • Background

  • General

  • Are you anticipating any major lifestyle changes? (i.e., marriage, divorce, retirement, move, etc.)
  • Are you comfortable with your current cash flow?
  • Health

  • Are you a smoker?
  • Retirment Planning

  • Are you contributing to a traditional IRA?
  • Are you contributing to a Roth-IRA?
  • Are you covered by any company retirement plans?
  • Protection

  • Estate Planning

  • Have you established any trusts?
  • Are you the beneficiary of any trusts?
  • Have you adequately planned for estate taxes?
  • Have you provided adequate estate liquidity for your heirs?
  • Have you planned your legacy?
  • Risk Profile

  • What is your investment experience with stocks or stock mutual funds?
  • What is your investment experience with bonds or bond mutual funds?
  • What is your investment goal?
  • How many years do you have until your expected retirement?
  • What do you expect to be your next major expenditure?

  • If YES, Amount: Timing:

  • If YES, Amount: Timing:

  • If YES, Amount: Timing:

  • If YES, Amount: Timing:

  • If YES, Amount: Timing:

  • What are your major objectives for your investments, in order of importance?

    (Rank 1 to 5)

  •   Current and future income
      Preserving capital
      Building wealth for heirs
      Keeping ahead of inflation
      Increasing returns

  • When do you expect to use the bulk of the money you are accumulating in your investments?
  • Over the next several years, do you expect your household annual income to
  • I am expecting an inheritance of approximately:

  • in
  • Due to a general market correction, one of your investments loses 25% of its value a short time after you buy it.
  • Some people need their investment portfolio to generate current income to meet on-going needs. This typically tilts the investment portfolio toward bonds and dividend paying stocks.
  • You have just reached the $10,000 plateau on a TV game show. Now you must choose between quitting with the $10,000 in hand or betting the entire $10,000 on one of the three scenarios below. Which do you choose?

  • Which do you choose?
  • How large of a temporary decline in your portfolio are you willing to accept before changing your investment strategy, assuming you start with $100,000?

  • Which do you choose?
  • By what percentage do you expect your portfolio to grow annually over the long term, 10+ years?
  • How can we help you? On a scale of 1 to 10 (1 being low and 10 being high) please rate the following:

  •    Increase my net worth by      %
       Building wealth for heirs
       Current & future income
       Preserving capital
       Keeping ahead of inflation
       Increasing returns

  • Investment Goals

  • Return should exceed inflation rate
  • Principal should be safe
  • Investments should be liquid (immediately accessible)
  • Diversification is important
  • Professional asset management
  • Reduce my taxable income
  • Build tax-free income
  • Long-term growth
  • Short-term profits
  • Risk Tolerance: Rate your risk tolerance level on a scale of 1 to 10
  • www.PantheonWealthPlanning.com

    1798 Technology Dr Ste 200, San Jose, CA, 95110-1320

    Sheri Pan | CA Insurance Lic #0D73163 

    The Financial consultants of Pantheon Wealth Planning are Registered Representative with, and securities and advisory services offered through LPL Financial, a Registered Investment Advisor, Member FINRA/SIPC.

    Financial planning offered through Pantheon Wealth Planning, a Registered Investment Advisor and a separate entity.

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