Retirement Strategy Fact Finder
Use this fact finder to share your retirement goals, income sources, assets, tax situation, insurance, health, and other planning details. All fields are optional unless marked required in the source PDF.
Personal Information
Full Name
First Name
Last Name
Spouse Name (if applicable)
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Marital Status
State of Residence
Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Occupation / Former Occupation
Current Status
Working
Retired
Retiring within 5 years
Goals & Priorities
Top 3 Financial Priorities
Guaranteed lifetime income
Reducing taxes in retirement
Protecting principal
Leaving a legacy
Long-term care planning
Other
Biggest Financial Concern Right Now
Running out of money
Market volatility
Taxes increasing
Healthcare/long-term care costs
Leaving enough to heirs
Other
Income Sources
Pension - Monthly Amount
Pension - Guaranteed
Yes
Social Security - Monthly Amount
Social Security - Guaranteed
Yes
Rental Income - Monthly Amount
Rental Income - Guaranteed
Yes
Part-time Work - Monthly Amount
Part-time Work - Guaranteed
Yes
Other Income - Monthly Amount
Other Income - Guaranteed
Yes
Have you filed for Social Security?
Yes
No
Planned age to file for Social Security
Assets
401(k) Balance
403(b) Balance
Traditional IRA Balance
TSP Balance
Roth IRA Balance
Roth 401(k) Balance
Brokerage Balance
Savings/CDs Balance
Cash Balance
Real Estate Value
Business Ownership Value
Current Tax Situation
Current Tax Bracket
Filing Status
Single
Married Filing Jointly
Married Filing Separately
Head of Household
Qualifying Surviving Spouse
Other
Estimated Annual Income
Expected Retirement Income
Do you expect taxes to be
Lower than now
About the same as now
Higher than now
Unsure
Have you ever done a Roth conversion?
Yes
No
Not sure
Open to paying taxes now on a partial amount to reduce taxes later
Yes
No
Maybe
Would like to discuss
Risk Tolerance & Market Experience
Risk Tolerance
Conservative
Moderate
Growth-Oriented
Aggressive
Very Aggressive
Other
If your assets dropped 30% in the market, would that affect your retirement?
Not at all
Slightly
Moderately
Significantly
Severely
Biggest frustration with current investments
Low returns
Too much risk
Too much volatility
High fees
Lack of diversification
Hard to understand
Poor income generation
Other
Other frustration with current investments
Income Planning
Monthly Social Security Income
Monthly Pension or Company Retirement Income
Monthly Income Needed in Retirement
Monthly Income Wanted in Retirement
Income Gap
Income Preferences
Guaranteed Income
Flexible Withdrawals
Tax-Efficient Income
Delayed Social Security
Pension Maximization
Other
Liquidity & Time Horizon
When might you need access to invested funds?
Within 1 year
1–3 years
3–5 years
5+ years
Not sure
Emergency Fund Available
Legacy & Beneficiary Planning
Primary Beneficiary
Contingent Beneficiary
Legacy Goals
Provide for spouse/partner
Support children or dependents
Charitable giving
Minimize taxes for heirs
Business succession
Special needs planning
Other
Insurance & Protection
Life Insurance Type / Details
Long-Term Care Coverage
Yes
No
Not Sure
Medicare or Health Insurance
Yes
No
Not Sure
Annuities (Existing) Value
Submit
Should be Empty: