• Image field 949
  • Is this a single or joint application?*
  • Personal details

  • Primary contact

  • Home address

  • Postal address

  • Is your postal address the same?
  • Format: (00) 00000000.
  • Format: 0000000000.
  • Gender
  • Marital Status
  • Australian tax resident
  • Tax resident of another country
  • Secondary contact

  • Home address

  • Is your home address the same as {primaryfirstName}?
  • Postal address

  • Is your postal address the same as {primaryfirstName}?
  • Format: (00) 00000000.
  • Format: 0000000000.
  • Gender
  • Marital status
  • Australian tax resident
  • Tax resident of another country
  • Do you have children?
    • Child 1 - click to provide details 
    • Student
    • Are there are funding requirements ($)?
    • Child 2 - click to provide details 
    • Student
    • Are there are funding requirements ($)?
    • Child 3 - click to provide details 
    • Student
    • Are there are funding requirements ($)?
    • Child 4 - click to provide details 
    • Student
    • Are there are funding requirements ($)?
  • Do you have grandchildren?
    • Grandchild 1 - click to provide details 
    • Student
    • Are there are funding requirements ($)?
    • Grandchild 2 - click to provide details 
    • Student
    • Are there are funding requirements ($)?
    • Grandchild 3 - click to provide details 
    • Student
    • Are there are funding requirements ($)?
    • Grandchild 4 - click to provide details 
    • Student
    • Are there are funding requirements ($)?
  • Do you have any living parents
    • Parent 1 - click to provide details 
    • Parent of {primaryfirstName}
    • Parent of {secondaryfirstName}
    • Parent 2 - click to provide details 
    • Parent of {primaryfirstName}
    • Parent of {secondaryfirstName}
    • Parent 3 - click to provide details 
    • Parent of {primaryfirstName}
    • Parent of {secondaryfirstName}
    • Parent 4 - click to provide details 
    • Parent of {primaryfirstName}
    • Parent of {secondaryfirstName}
  • Employment/income information

  • {primaryfirstName}'s income source
    Rows
  • {secondaryfirstName}'s income source
    Rows
  • Monthly household income surplus/shortfall
    Rows
  • {primaryfirstName}'s PURPOSE AND OBJECTIVES

  • Please select the areas you would like for us to provide advice on:
  • {secondaryfirstName}'s PURPOSE AND OBJECTIVES

  • Are your purposes and objectives the same as {primaryfirstName}'s?
  • Please select the areas you would like for us to provide advice on:
  • Retirement planning, superannuation and income streams

  • In order to make as accurate a projection as we can about how long your retirement savings will last we need to have an estimate of your life expectancy. We appreciate that this can be confronting for some people so we understand if you choose not to do it. If you are happy to do so then please go to www.mylongevity.com.au and complete the questionnaire.

  • Current date
     - -
    2 digit day, 2 digit month, 4 digit year
  • If our analysis suggests that you will not meet your retirement goals by your planned retirement age, would you:
  • Current date
     - -
    2 digit day, 2 digit month, 4 digit year
  • If our analysis suggests that you will not meet your retirement goals by your planned retirement age, would you:
  • Self-Managed Superfund

  • {primaryfirstName} do you have a self-managed superfund (SMSF)?
  • Browse Files
    Cancelof
  • Browse Files
    Cancelof
  • Binding death nomination
  • If yes
  • Concessional/non-concessional super contribution details since FY2019 - please ask your accountant to retrieve the details from the ATO portal.
    Rows
  • Have you commenced an income stream?
  • Do you have a reversionary beneficiary?
  • {secondaryfirstName} do you have a self-managed superfund (SMSF)?
  • Browse Files
    Cancelof
  • Browse Files
    Cancelof
  • Binding death nomination
  • If yes
  • Concessional/non-concessional super contribution details since FY2019 - please ask your accountant to retrieve the details from the ATO portal.
    Rows
  • Have you commenced an income stream?
  • Do you have a reversionary beneficiary?
  • Superannuation (excluding SMSF)

  • {primaryfirstName} do you have a superannuation fund?
    • Fund 1 - click to provide details 
    • Browse Files
      Cancelof
    • Binding death nomination
    • Fund 2 - click to provide details 
    • Browse Files
      Cancelof
    • Binding death nomination
    • Fund 3 - click to provide details 
    • Browse Files
      Cancelof
    • Binding death nomination
    • Fund 4 - click to provide details 
    • Browse Files
      Cancelof
    • Binding death nomination
    •  
    • Non-concessional super contribution details since FY2021.
      Rows
  • {secondaryfirstName} do you have a superannuation fund?
    • Fund 1 - click to provide details 
    • Browse Files
      Cancelof
    • Binding death nomination
    • Fund 2 - click to provide details 
    • Browse Files
      Cancelof
    • Binding death nomination
    • Fund 3 - click to provide details 
    • Browse Files
      Cancelof
    • Binding death nomination
    • Fund 4 - click to provide details 
    • Browse Files
      Cancelof
    • Binding death nomination
    •  
    • Non-concessional super contribution details since FY2021.
      Rows
  • Pension (excluding SMSF)

  • {primaryfirstName} do you have a pension?
    • Fund 1 - click to provide details 
    • Browse Files
      Cancelof
    • Do you have a reversionary beneficiary?
    • Fund 2 - click to provide details 
    • Browse Files
      Cancelof
    • Do you have a reversionary beneficiary?
    • Fund 3 - click to provide details 
    • Browse Files
      Cancelof
    • Do you have a reversionary beneficiary?
    • Fund 4 - click to provide details 
    • Browse Files
      Cancelof
    • Do you have a reversionary beneficiary?
  • {secondaryfirstName} do you have a pension?
    • Fund 1 - click to provide details 
    • Browse Files
      Cancelof
    • Do you have a reversionary beneficiary?
    • Fund 2 - click to provide details 
    • Browse Files
      Cancelof
    • Do you have a reversionary beneficiary?
    • Fund 3 - click to provide details 
    • Browse Files
      Cancelof
    • Do you have a reversionary beneficiary?
    • Fund 4 - click to provide details 
    • Browse Files
      Cancelof
    • Do you have a reversionary beneficiary?
  • Structures and entities

  • Do you have a trust?
  • Browse Files
    Cancelof
  • Do you have a company?
  • Browse Files
    Cancelof
  • Do you have any other structures and entities?
  • My current and future income sources (such as salary and pensions) are:
  • What is your investment timeframe?
  • I would enjoy exploring investment opportunities.
  • The chart below shows how a hypothetical $1,000,000 investment could grow/fall in value if you invested at the best time for a 3 year period and the worst time for a 3 year period since January 1990. Based upon this investment, how would you invest?
  • The chart below shows how a hypothetical $1,000,000 investment could grow/fall in value if you invested at the best time for a 5 year period and the worst time for a 5 year period since January 1990. Based upon this investment, how would you invest?
  • The chart below shows how a hypothetical $1,000,000 investment could grow/fall in value if you invested at the best time for a 10 year period and the worst time for a 10 year period since January 1990. Based upon this investment, how would you invest?
  • If you came across an investment opportunity where you could make multiples of your money, but could also lose your whole investment, how much of your portfolio would you invest?
  • Assets and investments

  • Please list your lifestyle assets
    Rows
  • Do you have any investment properties?
  • Please list your investment property
    Rows
  • Please list your cash assets
    Rows
  • Other investments

  • Do you have any shares, managed funds or other investments?
  • Browse Files
    Cancelof
  • Browse Files
    Cancelof
  • Browse Files
    Cancelof
  • Do you have any carried forward capital losses?
  • Personal and investment loans and liabilities

  • Rows
  • {primaryfirstName}'s insurance

  • Do you have any medical conditions?
  • Do you smoke?
  • Are you taking any medication?
  • Do you receive any medical treatment?
  • Have you ever been turned down for insurance?
  • Please provide details of any life, TPD, trauma and income protection policies.
    Rows
  • Protection plan wish list - Financial outcomes

    In an ideal world {primaryfirstName}, what outcomes below would you want for you and your family?

  • In the event of illness or accident would you like to provide a lump sum for higher level or medical and recovery care?
  • In the event of death or permanent disablement would you like your debts paid out?
  • General insurance

  • Do you have home and contents insurance?
  • Do you have motor vehicle insurance?
  • Do you have private health insurance?
  • {secondaryfirstName}'s insurance

  • Do you have any medical conditions?
  • Do you smoke?
  • Are you taking any medication?
  • Do you receive any medical treatment?
  • Have you ever been turned down for insurance?
  • Please provide details of any life, TPD, trauma and income protection policies.
    Rows
  • Protection plan wish list - Financial outcomes

    In an ideal world {secondaryfirstName}, what outcomes below would you want for you and your family?

  • In the event of illness or accident would you like to provide a lump sum for higher level or medical and recovery care?
  • In the event of death or permanent disablement would you like your debts paid out?
  • General insurance

  • Do you have home and contents insurance?
  • Do you have motor vehicle insurance?
  • Do you have private health insurance?
  • Lending services

    Steward Wealth is able to provide a professional review of your banking needs. The solutions offered include:
    • Motor vehicle finance
    • Equipment finance
    • Bank guarantees
    • Overdrafts
    • Small business loans
    • Cash flow loans for professional service businesses
    • Office fit-out finance
    • Credit facility for business
    • Commercial building loans
    • Home loans
    • Investment loans
    • Deposit bonds
    • Self-managed superannuation loans (residential and commercial)
  • Are you satisfied with your current banking arrangements?
  • Would you like to speak to our funding solution specialist?
  • Other considerations

  • {primaryfirstName}'s estate planning

  • Do you have a valid will?
  • Do you have a testamentary trust?
  • Do you have a power of attorney?
  • Do you have a power of medical guardianship?
  • Do you have an advance care directive?
  • {secondaryfirstName}'s estate planning

  • Do you have a valid will?
  • Do you have a testamentary trust?
  • Do you have a power of attorney?
  • Do you have a power of medical guardianship?
  • Do you have an advance care directive?
  • Your professional advisers

  • Solicitor

  • Format: (00) 00000000.
  • Accountant

  • Format: (00) 00000000.
  • Other professional advisers

    (insurance brokers etc)
  • Acknowledgements

  • Client acknowledgement

    Steward Wealth recommends that you read the Steward Financial Services Guide (FSG) that you have been provided with.

    • I/We acknowledge that I/we have received a Steward Wealth Financial Services Guide.

    • I/We acknowledge that the information contained in this client profile is complete and accurate to the best of my/our knowledge.

    • I/We acknowledge that recommendations or advice given without the completion of a client profile, or following a partial or inaccurate completion may not be appropriate to my/our needs.

    • I/We acknowledge that Steward Wealth may need to refer certain aspects of the requested advice to external specialists, for example, general insurance, specialist tax advice, family law, estate planning and trusts.

    • I/We authorise Steward Wealth to retain and store our personal information including tax file numbers and quote my/our tax file number information to the Australian Taxation Office when necessary and investment managers or platform administrations when making investments on my/our behalf.

    Privacy statement

    Please see our website, www.stewardwealth.com.au, for our full privacy statement.

    I/We agree to Steward Wealth using my/our personal information for the following purposes:

    a. To prepare my/our financial advice;

    b. Ensuring that the investment advice/financial products Steward Wealth recommends to me/us are appropriate to my/our investment objectives, financial situation and particular needs; and

    c. Communicating with me/us about my/our financial advice and any product or service that Steward Wealth supplies to me/us

  • I/We acknowledge that Steward Wealth may disclose my/our personal information to:

    a. Third parties for the purpose of complying with the Anti-Money Laundering and Counter Terrorism Financing Act 2006 (Cth) and associated rules, regulations, guidelines and any other directives issued by a regulator in connection with that Act;

    b. A party that Steward Wealth believes, acting in good faith, that the law requires or permits you to do so, including the ASX, ASIC or any other governmental or regulatory authority in Australia, or where I/we consent to the disclosure.

  • Should be Empty: