Pre Consult Information

Note:

The information requested below will greatly enhance our ability to spend our time together discussing strategies instead of collecting data on accounts, balances, and other basics.

Since this meeting is meant to be "big picture" and give us a general idea of your current financial position and goals, numbers do not need to be exact. Approximated information is perfectly fine for this call. If we each determine that The Carroll Advisory Retirement Roadmap™ plan is appropriate, we will dive in much deeper.

Please note that this information is required prior to our meeting.
If it is not submitted in advance, your meeting will be canceled. You will receive a link to reschedule once you’re able to provide the requested information.

Once submitted, your information will be accessible only to Carroll Advisory Group team members.

Name*

First NameLast Name

Date of Birth*

Date

Email*

Please enter your email

Phone Number*

Please enter your best contact number

Home Address*

Street Address

Street Address Line 2

CityState

Zip Code

Are you currently married?*

YesNo

Are you currently retired?*

YesNo

When do you plan to retire?*

Month and Year

When did you retire?*

Month and Year

Do you plan to work part-time once retired?*

YesNo

Do you plan to work part-time while retired?*

YesNo

Please provide additional details of part-time work.*

Spouse's Name*

First NameLast Name

Spouse's Date of Birth*

Date

Spouse's Email*

Please enter your email

Spouse's Phone*

Please enter your best contact number

Is your spouse currently retired?*

YesNo

When does your spouse plan to retire?*

Month and Year

When did your spouse retire?*

Month and Year

Does your spouse plan to work part-time once retired?*

YesNo

Does your spouse plan to work part-time while retired?*

YesNo

Please provide additional details of your spouse's part-time work.*

Income Streams

What is your estimated Social Security benefit at Full Retirement Age?*

Full Retirement Age Benefit

Do you have any pensions?*

YesNo

Please provide details of your pension(s)*

If you have multiple, please include COLA & Survivorship details here.

Will the pension include cost of living adjustments ?*

Input NA if not applicable or uncertain

What are the pension's survivorship options?*

i.e. spousal 100%, 75%, 50%, 10-yr certain, etc.

What is your spouse's estimated Social Security benefit at Full Retirement Age?*

Full Retirement Age Benefit

Does your spouse have any pensions?*

YesNo

Please provide details of your spouse's pension(s)*

If you have multiple, please include COLA & Survivorship details here.

Will your spouse's pension include cost of living adjustments?*

Input NA if not applicable or uncertain

What are your spouse's pension survivorship options?*

i.e. spousal 100%, 75%, 50%, 10-yr certain, etc.

Do you have any other income sources for retirement? (Rental Property, Royalties, etc.)*

YesNo

Please provide details of additional sources of retirement income.*

Assets

Please list any accounts for you and your spouse (if married) that can be used to fund your retirement.

Household Taxable Accounts (e.g. Joint account, single account, trust account)

	Type	Approx. Value
Taxable 1
Taxable 2
Taxable 3
Taxable 4

Household Pre-Tax Accounts (e.g. 401(k), 403(b), Traditional IRA)

	Type	Approx. Value
Pre-Tax 1
Pre-Tax 2
Pre-Tax 3
Pre-Tax 4

Household Post-Tax Accounts (e.g. Roth IRA)

	Type	Approx. Value
Post-Tax 1
Post-Tax 2
Post-Tax 3
Post-Tax 4

Additional Household Assets

	Type	Approx. Value
Additional 1
Additional 2
Additional 3
Additional 4

Outstanding Debts

	Type	Approx. Balance
Debt 1
Debt 2
Debt 3
Debt 4

Would you like to send your account statements to our secure upload portal before our meeting?

Yes, I would like to provide themNo, I would not like to at this time

This should open a new browser tab for you to submit your statement uploads.

Carroll Advisory Group: Secure Upload Portal

Please continue with the current pre-meeting notes before processing uploads.

If the link above does not open a new window, copy the url below and paste it in a new tab.

https://www.encyro.com/carrolladvisory

Retirement Goals

What is your (net) retirement spending target on a monthly basis?*

This is the amount after taxes that is deposited into your bank for spending on living expenses and lifestyle.

Do you have children?*

YesNo

How important is it to you that you leave money to your children?*

Do you currently donate money to a charitable organization (e.g., church, non-profits, etc.)?*

Input NA or $0 if not applicable

Do you currently have a financial advisor?*

YesNo

What planning services have they provided for you?

What is the most pressing issue we can address with our Retirement Roadmap Plan?*

Please be as detailed as possible.0/1500

Would you like a copy of this information emailed to you?*

YesNo

Pre-Meeting Consult Information

Income Streams

Assets

This should open a new browser tab for you to submit your statement uploads.

If the link above does not open a new window, copy the url below and paste it in a new tab.

Retirement Goals