Fact Finder
Financial Planning with Waterside Financial Advisors
Personal Information
Client #1
Client #2
Name
Date of Birth
Email Address
Employment Status
Please Choose:
Employed
Business Owner
Retired
Not Employed
Employment Income
Other Income
(Non-investment only)
Martial Status
State of Residence
Important Relationships
Any participants included in this plan for gifting and goals. Examples include: children, grandchildren, charities, etc.
Name
Date of Birth
Relationship
#1
#2
#3
#4
#5
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Expectations & Concerns
What do you most look forward to? What worries or concerns you? Select what applies to you.
Retirement Expectations
Client #1
Client #2
No work
Part-time work for a few years
Never completely retire
Active lifestyle
Quiet lifestyle
Time to travel
Time with family and friends
Opportunity to help others
Moving to a new home
Start business
Less stress - peace of mind
Retirement Concerns
Degree
High/Med/Low
Client #1
Client #2
Not having a paycheck anymore
High
Medium
Low
Running out of money
High
Medium
Low
Suffering investment losses
High
Medium
Low
Leaving money to others
High
Medium
Low
Spending too much
High
Medium
Low
Cost of health care or long term care
High
Medium
Low
Current or future health issues
High
Medium
Low
Dying early
High
Medium
Low
Living too long
High
Medium
Low
Getting Alzheimer's (or other illness)
High
Medium
Low
Going into a nursing home
High
Medium
Low
Being bored
High
Medium
Low
Too much time together
High
Medium
Low
Parents needing care
High
Medium
Low
Family needs financial help
High
Medium
Low
Kids moving home
High
Medium
Low
Care for child with special needs
High
Medium
Low
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Retirement Age
When would you like to retire? Enter your target age and indicate how willing you are to delay retirement beyond that age, if it helps you fund your goals.
Please answer the two following questions:
At what age would you like to retire?
How willing are you to retire later?
Client #1
Not at all
Slightly
Somewhat
Very
Client #2
Not at all
Slightly
Somewhat
Very
Living Expenses and Lifestyle Goals
Achieving your retirement goals will not happen automatically. The first step to consider as retirement approaches is to determine your costs in retirement. Certain goals will be required living expenses during retirement and are considered your "Needs". Other expenses are lifestyle goals and can be described as "Wants" or "Wishes". The next few pages will help you define your goals.
Needs: Living Expenses & Health Care
This goal is for your basic day-to-day living expenses (i.e. food, clothes, utilities, etc.) during retirement. By making your basic living expense a separate goal, you can see exactly what it takes to pay the bills for the rest of your life. If you're not sure how much money you need, use the supplemental budget worksheet. Be sure you don't "double count" any expenses during retirement. For example, if you use your credit card to pay day-to-day expenses such as groceries, do not "double pay" for your groceries by including in your living expense both the credit card payment and a grocery expense.
If you believe that health care costs, beyond basic expenses such as your Medicare supplement, are likely to be particularly significant for you and your family, use this goal to separate those costs from your retirement living expenses. Please answer the questions below with a dollar amount.
Annual Living Expenses for Client #1 & #2
Annual Health Care (out of pocket) for Client #1 & #2
Dollar Amount
Calculator
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Wants and Wishes: Lifestyle Goals
This slideshow will visualize some common goals that may fall under wants and wishes like: Travel, Home Improvement, College Expenses, Vehicle Purchase, New Home, Wedding Expenses, Gifts or Donations, and Major Purchases - like a pool.
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Goal Importance Scale
This scale shows the importance of each goal on a scale of 10-1, with 10 being your highest priority. This exercise and rating groups your goals by Needs (what you must have), Wants (what you would like to have), and Wishes (what you wish to have).
Needs
Wants
Wishes
Lifestyle Goals
Lifestyle goals are above and beyond what you need to pay for basic expenses. Prioritize your goals on a scale of 10 - 1. Needs (10, 9, 8), Wants (7, 6, 5, 4) and Wishes (3,2, 1). Refer to the previous page for typical lifestyle goals.
Goal Name
Importance
Client #1
Client #2
Start Year
Dollar Amount
How Often
How Many Times
Goal
10 (Need)
9 (Need)
8 (Need)
7 (Want)
6 (Want)
5 (Want)
4 (Want)
3 (Wish)
2 (Wish)
1 (Wish)
Goal
10 (Need)
9 (Need)
8 (Need)
7 (Want)
6 (Want)
5 (Want)
4 (Want)
3 (Wish)
2 (Wish)
1 (Wish)
Goal
10 (Need)
9 (Need)
8 (Need)
7 (Want)
6 (Want)
5 (Want)
4 (Want)
3 (Wish)
2 (Wish)
1 (Wish)
Goal
10 (Need)
9 (Need)
8 (Need)
7 (Want)
6 (Want)
5 (Want)
4 (Want)
3 (Wish)
2 (Wish)
1 (Wish)
Goal
10 (Need)
9 (Need)
8 (Need)
7 (Want)
6 (Want)
5 (Want)
4 (Want)
3 (Wish)
2 (Wish)
1 (Wish)
Goal
10 (Need)
9 (Need)
8 (Need)
7 (Want)
6 (Want)
5 (Want)
4 (Want)
3 (Wish)
2 (Wish)
1 (Wish)
Goal
10 (Need)
9 (Need)
8 (Need)
7 (Want)
6 (Want)
5 (Want)
4 (Want)
3 (Wish)
2 (Wish)
1 (Wish)
Goal
10 (Need)
9 (Need)
8 (Need)
7 (Want)
6 (Want)
5 (Want)
4 (Want)
3 (Wish)
2 (Wish)
1 (Wish)
Goal
10 (Need)
9 (Need)
8 (Need)
7 (Want)
6 (Want)
5 (Want)
4 (Want)
3 (Wish)
2 (Wish)
1 (Wish)
Goal
10 (Need)
9 (Need)
8 (Need)
7 (Want)
6 (Want)
5 (Want)
4 (Want)
3 (Wish)
2 (Wish)
1 (Wish)
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Adjustments to Living Expenses
Your retirement living expense amount may include some expenses that will end during retirement. When the expenses end, your living expense amount would be reduced. Please indicate any expenses that will end.
Description
Client #1
Client #2
Annual Amount (current dollars)
Year Expense Will End
Check if Amount Inflates
Living Expense
Living Expense
Living Expense
Living Expense
Living Expense
Calculator
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Retirement Income
Identify all the resources you have to fund your goals. Don't include distributions, interest or dividend income from your investments
Social Security Benefits
Please provide your current benefit estimate from ssa.gov or annual benefit letter if already receiving.
Upload your Social Security Statement
Social Security Information
*
Eligible?
Receiving Now: $_________ per month
Benefit Amount? (Primary Insurance Amount) $_________ per month
When to Start?
At Age
Client #1
Yes
No
At Full Retirement Age (per Social Security)
At Age (Enter answer in next field)
At Retirement
Client #2
Yes
No
At Full Retirement Age (per Social Security)
At Age (Enter answer in next field)
At Retirement
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Retirement Income Continued
Pension Income
Please provide your current pension projection or a current statement if already receiving benefit.
Upload your Pension Statement Here
Pension Projection - For a lifetime pension, indicate "End of Life" in the Year it Ends column
Description
Owner
Monthly Income
Start Year
Year it Ends or # of Years
% Survivor Benefit
Check if Amount Inflates (COLA)
Pension
Client #1
Client #2
Pension
Client #1
Client #2
Pension
Client #1
Client #2
Pension
Client #1
Client #2
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Retirement Income Continued
Part-time Work & Other Retirement Income
Include income from part-time work, rental property income, annuity income, farm income, alimony, etc. Provide pre-tax amount. These incomes will be shown to begin at retirement unless otherwise noted.
*
Description
Owner
Monthly Income
Year it Ends or Number of Years
Income
Client #1
Client #2
Joint
Income
Client #1
Client #2
Joint
Income
Client #1
Client #2
Joint
Income
Client #1
Client #2
Joint
Income
Client #1
Client #2
Joint
Calculator
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Retirement Income Continued
Retirement Assets
Upload your retirement statements here
Identify all the resources you have to fund your goals. Don't worry about determining the exact amounts, reasonable estimates are fine. Please provide your most recent investment statements. These include: 401K, 403B, Traditional IRA, Roth IRA, Annuities, ect
Investment Type
Current Value
Annual Additions ($ or %)
Employer Match ($ or %)
Total Dollar Amount
Client #1
Retirement Plans (i.e. 401K 403b)
Traditional IRA
Roth IRA
529 Savings Plan
Annuities
HSA
Taxable/Brokerage
Other
Client #1
Retirement Plans (i.e. 401K 403b)
Traditional IRA
Roth IRA
529 Savings Plan
Annuities
HSA
Taxable/Brokerage
Other
Client #1
Retirement Plans (i.e. 401K 403b)
Traditional IRA
Roth IRA
529 Savings Plan
Annuities
HSA
Taxable/Brokerage
Other
Client #1
Retirement Plans (i.e. 401K 403b)
Traditional IRA
Roth IRA
529 Savings Plan
Annuities
HSA
Taxable/Brokerage
Other
Client #1
Retirement Plans (i.e. 401K 403b)
Traditional IRA
Roth IRA
529 Savings Plan
Annuities
HSA
Taxable/Brokerage
Other
Client #2
Retirement Plans (i.e. 401K 403b)
Traditional IRA
Roth IRA
529 Savings Plan
Annuities
HSA
Taxable/Brokerage
Other
Client #2
Retirement Plans (i.e. 401K 403b)
Traditional IRA
Roth IRA
529 Savings Plan
Annuities
HSA
Taxable/Brokerage
Other
Client #2
Retirement Plans (i.e. 401K 403b)
Traditional IRA
Roth IRA
529 Savings Plan
Annuities
HSA
Taxable/Brokerage
Other
Client #2
Retirement Plans (i.e. 401K 403b)
Traditional IRA
Roth IRA
529 Savings Plan
Annuities
HSA
Taxable/Brokerage
Other
Client #2
Retirement Plans (i.e. 401K 403b)
Traditional IRA
Roth IRA
529 Savings Plan
Annuities
HSA
Taxable/Brokerage
Other
Other Assets
Include assets such as your home, real estate, inheritance, collectibles, etc
Asset Name
Owner
Current Value
Planning to Sell this Asset?
Year to Sell / Receive
Cash to be Received (After-tax)
Other Asset
Client #1
Client #2
Joint
Yes
No
Only if needed
Other Asset
Client #1
Client #2
Joint
Yes
No
Only if needed
Other Asset
Client #1
Client #2
Joint
Yes
No
Only if needed
Other Asset
Client #1
Client #2
Joint
Yes
No
Only if needed
Other Asset
Client #1
Client #2
Joint
Yes
No
Only if needed
Other Asset
Client #1
Client #2
Joint
Yes
No
Only if needed
Other Asset
Client #1
Client #2
Joint
Yes
No
Only if needed
Other Asset
Client #1
Client #2
Joint
Yes
No
Only if needed
Calculator
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Liabilities
Upload your liability statements here
Liabilities Information
*
Liability Name
Owner
Current Balance
Monthly Payment
Origination Date
Term
Interest Rate
Liability
Client #1
Client #2
Joint
Liability
Client #1
Client #2
Joint
Liability
Client #1
Client #2
Joint
Liability
Client #1
Client #2
Joint
Liability
Client #1
Client #2
Joint
Liability
Client #1
Client #2
Joint
Liability
Client #1
Client #2
Joint
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Insurance
Have your insurance reviewed and analyzed to see if you have appropriate coverage. List below details for your group life insurance through your employer, individual term life insurance and individual cash value insurance (whole life, universal life, variable life, etc.). Please provide insurance declaration pages and/or statements for all insurance policies listed below
Upload your insurance statements here
Group and Term Life Insurance
Insurance Company Name
Owner
Death Benefit
Premium / Frequency
Length of Term
Insurance
Client #1
Client #2
Joint
Insurance
Client #1
Client #2
Joint
Insurance
Client #1
Client #2
Joint
Insurance
Client #1
Client #2
Joint
Insurance
Client #1
Client #2
Joint
Insurance
Client #1
Client #2
Joint
Cash Value Life Insurance
Insurance Company Name
Owner
Death Benefit
Premium / Frequency
Cash Value
Insurance
Client #1
Client #2
Joint
Insurance
Client #1
Client #2
Joint
Insurance
Client #1
Client #2
Joint
Insurance
Client #1
Client #2
Joint
Disability Insurance & Long-Term Care Insurance
Insurance Type
Insurance Company Name
Owner
Insurance
Disability Insurance
Long-Term Care Insurance
Client #1
Client #2
Joint
Insurance
Disability Insurance
Long-Term Care Insurance
Client #1
Client #2
Joint
Insurance
Disability Insurance
Long-Term Care Insurance
Client #1
Client #2
Joint
Insurance
Disability Insurance
Long-Term Care Insurance
Client #1
Client #2
Joint
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Additional Considerations
Do you have any of the following: Stock Options, Restricted Stock, Deferred Compensation, Small Business Ownership? If so, please provide current statements.
Upload your statements here
Fill out the details here
Type
Company Name
Owner
Notes
Add. Consideration
Stock Options
Restricted Stock
Deferred Compensation
Small Business Ownership
Client #1
Client #2
Joint
Client + Business Partner
Add. Consideration
Stock Options
Restricted Stock
Deferred Compensation
Small Business Ownership
Client #1
Client #2
Joint
Client + Business Partner
Add. Consideration
Stock Options
Restricted Stock
Deferred Compensation
Small Business Ownership
Client #1
Client #2
Joint
Client + Business Partner
Add. Consideration
Stock Options
Restricted Stock
Deferred Compensation
Small Business Ownership
Client #1
Client #2
Joint
Client + Business Partner
Notes
Questions
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Terms and Conditions
Please agree to terms & conditions to complete, thank you!
RegisteredRepresentative. Securities offered through Cambridge Investment Research, Inc.,a broker-dealer, member FINRA/SIPC. Investment Advisor Representative. Advisory services offeredthrough Cambridge Investment Research Advisors, Inc., a Registered InvestmentAdviser. Waterside Financial Advisors, LLC and Cambridge are not affiliated. The information in this email is confidential and is intendedsolely for the addressee. If you are not the intended addressee and havereceived this email in error, please reply to the sender to inform them of thisfact. We cannot accept trade orders throughemail. Important letters, email, or fax messages should be confirmed by calling(815) 963-0461. Our email service may not be monitored every day, or afternormal business hours.
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