Client Account Information

  • Recommendations relating to this questionnaire will be based on the assumption that the answers to this questionnaire are complete, accurate and reflect your current situation. This form collects data for informational purposes only and does not supersede any data or information reported on official Cambridge forms. Securities offered through Registered Representatives of Cambridge Investment Research, Inc., a broker-dealer, member FINRA/SIPC. Advisory services offered through Cambridge Investment Research Advisors, Inc., a Registered Investment Adviser. Cambridge and Simply Sophisticated Wealth Planning, LLC are not affiliated.

     

    Please contact Keith Piscitello at 847-917-0076 or keith.piscitello@s2wealth.com 
    with any questions or concerns completing this form 

  • Client Account Information

  • Identification

    If you are a new client, you must provide at least one form of ID.

  • Employment

  • How much longer do you intend to work? years.

  • Client Information

  • Definitions

    1 Risk Tolerance: (i) Low - Focused on preserving investment, with minimal risk. (ii) Moderate - Willing to accept some degree of investment risk andvolatility to seek higher returns. Understand that a portion of the money invested could be lost. (iii) High - Willing to accept a high degree of investment riskand volatility to seek maximum returns. Understand that most or all of the money invested could be lost.2 Net Worth is broadly defined as the value of all assets (recorded at current market value) minus all liabilities. Assets in the client’s net worth calculationinclude stocks, bonds, mutual funds and other securities, bank accounts, and other personal property. A primary residence should not be included amongthe assets that constitute net worth. Liabilities include outstanding loans (excluding mortgage on a primary residence), credit card balances, and taxesthat may be due.3Liquid Net Worth is the portion of net worth that represents cash, cash equivalents or assets that may be converted to cash in a readily available and liquidmarket. Potential charges (e.g., surrender charges) or tax penalties that may be incurred by a client who is liquidating and/or distributing assets should besubtracted from the liquid net worth figure. Items such as real estate, business equity, non-traded securities (such as non-traded real estate investment trusts(REITs), and other Alternative Investments), personal property, furnishings, and automobiles are not considered components of liquid net worth.

  • Investor Questions

  • Beneficiary Form

  • Beneficiary Designation

    Primary Beneficiaries- The primary beneficiaries will receive payment of any assets that are in this IRA upon your death.

  • Primary Beneficiary 1

  • Primary Beneficiary 2

  • Primary Beneficiary 3

  • Beneficiary Designation Continued

    Contingent Beneficiaries: Contingent beneficiaries will receive payment of any assets that are in this IRA upon your death if no primary beneficiaries survive you.

  • Contingent Beneficiary 1

  • Contingent Beneficiary 2

  • Beneficiary 3

  • Should be Empty: