Confidential Personal 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.
FAMILY INFORMATION
Your Name
*
First Name
Last Name
Nickname
Your Birthday
*
-
Month
-
Day
Year
Date
Your Spouse's Name
First Name
Last Name
Nickname
Your Spouse's Birthday
*
-
Month
-
Day
Year
Date
Residence Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Mobile Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Fax Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
Referred by:
Client Name
Children's Name and Ages
OCCUPATION
Your Job Title
Employer (last, if retired)
No. of Years
Work Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Retirement Date
-
Month
-
Day
Year
Date
Spouse's Job Title
Employer (last, if retired)
No. of Years
Work Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Retirement Date
-
Month
-
Day
Year
Date
ADVISORS
Financial Advisor's Name
First Name
Last Name
Firm Name
City/State
Do you have a preference or a commitment to this advisor?
Yes
No
Attorney's Name
First Name
Last Name
Firm Name
City/State
Do you have a preference or a commitment to this advisor?
Yes
No
Accountant's Name
First Name
Last Name
Firm Name
City/State
Do you have a preference or a commitment to this advisor?
Yes
No
Insurance Agent's Name
First Name
Last Name
Firm Name
City/State
Do you have a preference or a commitment to this advisor?
Yes
No
Stockbroker's Name
First Name
Last Name
Firm Name
City/State
Do you have a preference or a commitment to this advisor?
Yes
No
Back
Next
What is important about money to you?
*
Back
Next
CONCERNS AND OBJECTIVES
GENERAL
Are you anticipating any major lifestyle changes? (i.e., marriage, divorce, retirement, moving, etc.)
*
Please Select
Yes
No
Uncertain
What changes are you expecting?
*
Are you comfortable with your current cash flow?
*
Please Select
Yes
No
Uncertain
Do you anticipate any significant changes in your cash flow?
*
Please Select
Yes
No
Uncertain
Do you anticipate any major expenditures in the near future?
*
Please Select
Yes
No
Uncertain
What expenditures are you expecting?
*
RETIREMENT PLANNING
At what age do you expect to retire?
At what age would you like to be able to retire?
What minimum income do you need (in today's dollars)?
If you plan on working after your retirement, estimate your expected income
Are you contributing to an IRA?
*
Yes
No
Are you covered by any company retirement plans?
*
Yes
No
Type of company pension plan?
PROTECTION
Do you have any potential health problems?
Please Select
Yes
No
Uncertain
Do you have adequate medical coverage?
Please Select
Yes
No
Uncertain
Do you have adequate personal liability coverage?
Please Select
Yes
No
Uncertain
Amount?
Do you have enough life insurance?
Please Select
Yes
No
Uncertain
Do you have an emergency fund (money set aside in savings)?
Please Select
Yes
No
Uncertain
ESTATE PLANNING
Do you have updated/adequate wills?
Please Select
Yes
No
Uncertain
Have you established any trusts?
Please Select
Yes
No
Uncertain
Are you the beneficiary of any trusts?
Please Select
Yes
No
Uncertain
Will you be receiving a significant inheritance?
Please Select
Yes
No
Uncertain
Have you adequately considered estate taxes?
Please Select
Yes
No
Uncertain
Have you provided adequate estate liquidity for your heirs?
Please Select
Yes
No
Uncertain
Is proper titling a concern?
Please Select
Yes
No
Uncertain
Do you have long-term health care coverage?
Please Select
Yes
No
Uncertain
CONCERNS
Please list any concerns you may have
*
Back
Next
PERSONAL GOALS STATEMENT
Which items would you like help with?
*
Increase my standard of living
Financial security at retirement
Increase my net worth
Reduce my tax burden
Pay for college education for my children
Provide for my family in the event of my (or my spouse's) death
Minimize the cost of probate and estate taxes
Control the distribution of assets to my heirs
Plan for long-term or nursing home care
Buy a house
Other goals
If you could change two things about your current financial situation, what would you change?
*
Investment Goals
*
Rows
Low Priority
Neutral Priority
High Priority
Return should exceed inflation rate
Principle should be safe
Investments should be liquid (immediately accessible)
Diversification is important
I'd like professional asset management
I want to reduce my taxable income
I want to build tax-free income
I am interested in long-term growth
I am interested in short-term profits
Rate your risk tolerance level
Low Risk Tolerance
1
2
3
4
5
6
7
8
9
High Risk Tolerance
10
1 is Low Risk Tolerance, 10 is High Risk Tolerance
Submit
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