MOKAN CLIENT REVIEW

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Household StatusJoint = Married Individual= Single, Widow, Widower, Divorced

JointIndividual

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Has your home/mailing address changed since we last spoke?* This field is required.

YESNO

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Home Address* This field is required.

Street Address

City

State

Zip Code

Country

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Name* This field is required.

First Name

Last Name

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Has your email or primary phone # changed since we last spoke?* This field is required.

YESNO

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Best Email Address* This field is required.Preferred

example@example.com

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Mobile Phone Number* This field is required.

Area Code

Phone Number

8

Are you currently retired or employed/unemployed

EmployedRetired/unemployed

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Employer* This field is required.

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Annual Gross Income* This field is required.

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Target Retirement Date* This field is required.

Date

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Spouse/Partner Name* This field is required.

First Name

Last Name

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Are you currently retired or employed/unemployed* This field is required.

EmployedRetired/unemployed

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Employer* This field is required.

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Annual Gross Income* This field is required.

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Target Retirement Date* This field is required.

Date

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Banks Accounts* This field is required.Rough estimate of checking/savings

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Primary Residence Value* This field is required.

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Primary Residence Mortgage Balance* This field is required.

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Have you experienced any financial changes in your life since we last spoke?* This field is required.

YESNO

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Please share* This field is required.Please elaborate

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Any changes in your life since we last spoke?

YESNO

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Please share* This field is required.

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ANY QUESTIONS, TOPICS, OR CONCERNS YOU WOULD LIKE TO DISCUSS?

YESNO

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Please share* This field is required.

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Important Investing Reminder: We use math first & emotions 2nd when investing. However, it is helpful for me to identify the risk required to meet your retirement plan goals, your risk capacity, and your risk tolerance.

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Which scenario would cause you the greatest amount off stress?* This field is required.

Not owning stock when the market goes up (4)

Owning stocks when the value of the stocks drop (2)

28

What is your investment experience?* This field is required.

None (1)

Limited (1)

Moderate (1)

Extensive (1)

29

If you needed immediate funds equal to 1/4 the value of your investment accounts, where would you obtain the money?* This field is required.

All from my investments (1)

At least 75% from my investments and the other savings (2)

50% from this portfolio and the remainder from other savings (3)

Less than 25% from my investments and the other from other savings (4)

All from other savings (5)

30

What is your overall investment objective?* This field is required.

Preserve Principal (1)

Income (3)

Income and Growth (6)

Growth (9)

Aggressive Growth (12)

31

When do you expect to begin withdrawals on a regular basis from your investment accounts?* This field is required.

Right now or within the next 12 months (1)

1-3 years (3)

4-6 years (6)

7-10 years (9)

10+ years (12)

32

Today, how much do you rely on income from investment accounts?* This field is required.

Heavily (1)

Moderately (2)

Slightly (3)

Not at all (4)

33

Assuming normal market conditions, what would you expect from your investments over time?* This field is required.

Slight to no risk in return for general stability of principal (1)

Low risk in return for a little growth opportunity (2)

To slightly trail the stock market, but make a moderate returns (4)

To generally keep pace with the stock market (6)

To outperform the stock market, but take on additional risk(8) -

34

Suppose the stock market performs unusually poorly over the next decade. What would you expect from this investment?* This field is required.

To also perform poorly(1)

To make very little or nothing (3)

To make a little gain (6)

To make a modest gain (9)

To make gains, regardless of the stock market's performance (12)

35

Which of these statements would best describe your attitude about the next three months' performance of your investments?* This field is required.

I'd have a hard time stomaching any losses (1)

If I suffered a loss of greater than 10%, I'd be concerned (3)

I can only tolerate small short-term losses (6)

I wouldn't worry about losses in that time frame (9)

Who cares? One calendar quarter means nothing(12)

36

The market dropped quickly and your portfolio value dropped by 25%. What would you do?* This field is required.

I would immediately move all my holdings to cash (1)

I would immediately change to strategies that are more conservative (3)

I would stay invested and wait at least 3 months before deciding to make any changes (6)

I would immediately change to strategies that are more aggressive (9)

I would immediately add to my investment portfolio and buy more equities to take advantage of the lower prices (12)

37

If your investment portfolio lost 33% of its value over the last 3 MONTHS, how would you react* This field is required.

I would immediately move all my holdings to cash (1)

I would immediately change to strategies that are more conservative (3)

I would stay invested and wait at least 3 months before deciding to make any changes (6)

I would immediately change to strategies that are more aggressive (9)

I would immediately add to my investment portfolio and buy more equities to take advantage of the lower prices (12)

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Your Total Score

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Score	Your investor profile is	About your investor profile
0-18	Conservative	I am willing to accept the lowest return potential in exchange for the lowest potential fluctuation in my account value even if it may not keep pace with inflation.
19-34	Moderately Conservative	I am willing to accept a relatively low return potential in exchange for relatively low fluctuation in account value.
35-57	Moderate	I am willing to accept a moderate return potential in exchange for some fluctuation in account value. Accepting of short-term losses of principal in exchange for long-term appreciation.
58-73	Moderately Aggressive	I am seeking a relatively high return potential and am willing to accept a relatively high fluctuation and potentially substantial loss in my account value. Entails a fair amount of volatility, and invested exclusively in equities.
74+	Aggressive	I am seeking the highest return potential and am willing to accept the highest fluctuation and could lose most or all of my account value. May entail substantial year-to-year volatility in value in exchange for potentially high long-term returns.

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{primaryName} Signature* This field is required.

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{spousepartnerName} Signature* This field is required.

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