€¦ · if you could change three things about your current financial situation, what would you...
TRANSCRIPT
Confidential Profile
www.wealthcg.com
Securities offered through LPL Financial, Member FINRA/SIPC. Investment advice offered
through WCG Wealth Advisors, a registered investment advisor. The Wealth Consulting Group
and WCG Wealth Advisors are separate entities from LPL Financial .
Date: _____________ Lead Advisor: _____________________
2
FAMILY INFORMATION
Your Name Age Birth Date Social Security # (optional)
______________________________________________________________________________________________________
Your Driver License # Issue Date: Expiration Date:
______________________________________________________________________________________________________
Spouse’s Name Age Birth Date Social Security # (optional)
______________________________________________________________________________________________________
Spouse’s Driver License # Issue Date: Expiration Date:
______________________________________________________________________________________________________
Residence Address City State Zip Code
______________________________________________________________________________________________________
Mailing Address City State Zip Code
______________________________________________________________________________________________________
Home Phone Cell Phone #1 Cell Phone #2 Fax
______________________________________________________________________________________________________
Email Address #1 Email Address #2
______________________________________________________________________________________________________
Referred By: Referral Date:
______________________________________________________________________________________________________
OCCUPATION
Your Job Title Employer (last, if retired) # of Years Work Phone Retirement Date
______________________________________________________________________________________________________
Spouse’s Job Title Employer (last, if retired) # of Years Work Phone Retirement Date
______________________________________________________________________________________________________
Marital Status: ____ Single _____ Married _____Domestic Partners _____ Widowed
3
CHILDREN
Name Date of Birth Special Needs
ADVISORS (Attorney, Accountant, Personal Banker , Stockbroker, etc.)
1. Advisor Type: __________________________________
Name (First, Last): _______________________________
Company: ______________________________________
Address: ______________________________________
City:__________________ State:________ Zip: _______
Phone: ________________________________________
Fax: __________________________________________
Email: ________________________________________
2. Advisor Type: __________________________________
Name (First, Last): _______________________________
Company: ______________________________________
Address: _______________________________________
City:__________________ State:________ Zip: ________
Phone: ________________________________________
Fax: __________________________________________
Email: ________________________________________
3. Advisor Type: __________________________________
Name (First, Last): _______________________________
Company: ______________________________________
Address: _______________________________________
City:__________________ State:________ Zip: ________
Phone: ________________________________________
Fax: __________________________________________
Email: ________________________________________
4. Advisor Type: __________________________________
Name (First, Last): _______________________________
Company: ______________________________________
Address: _______________________________________
City:__________________ State:________ Zip: ________
Phone: ________________________________________
Fax: __________________________________________
Email: ________________________________________
4
Personal Goal Planning
How can we help you? On a scale of 1 to 10 (1 being low and 10 being high) please rate the following:
________ Increase my net worth by _____%
________ Reduce my tax burden
________ Pay education expenses for my children
________ Financial security at retirement
________ Purchase real estate
________ Plan for long-term care
________ Provide for my family in the event of my (or my spouse or partner’s) disability or death
________ Minimize the cost of probate and estate taxes
________ Control the distribution of assets to my heirs
________ Fund a charitable endeavor
List other goals
1. __________________________________________________________________________________________________
2. __________________________________________________________________________________________________
3. __________________________________________________________________________________________________
If you could change three things about your current financial situation, what would you change?
1. __________________________________________________________________________________________________
2. __________________________________________________________________________________________________
3. __________________________________________________________________________________________________
Investment Goals Priority Level
Return should exceed inflation rate None Low Medium High Urgent
Principal should be safe None Low Medium High Urgent
Investmens should be liquid None Low Medium High Urgent (immediately accessible) Diversification is important None Low Medium High Urgent Professional asset management None Low Medium High Urgent Reduce my taxable income None Low Medium High Urgent Build tax advantaged income None Low Medium High Urgent Long-term growth None Low Medium High Urgent Short-term profits None Low Medium High Urgent
Risk Tolerance Low High
Rate your risk tolerance level on
A scale of 1 to 10 1 2 3 4 5 6 7 8 9 10
Thank you for taking the time to complete this profile!
Securities offered through LPL Financial, Member FINRA/SIPC. Investment advice offered through WCG Wealth Advisors, a registered investment advisor. The Wealth Consulting Group and WCG Wealth Advisors are separate entities from LPL Financial.
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Personal Information Client A
Nick Name: _____________________________________
Citizenship: _____________________________________
College of Graduation: ____________________________
Favorite Beverage: _______________________________
Hobbies/Interest: ________________________________
______________________________________________
Marital Status: _________________________________
Anniversary Date: _______________________________
Previously Married: Yes No
Preferred method of contact:
____phone _____email _____text _____in person
Best time to contact you: _______________________
Client B
Nick Name: _____________________________________
Citizenship: _____________________________________
College of Graduation: ____________________________
Favorite Beverage: _______________________________
Hobbies/Interest: ________________________________
______________________________________________
Marital Status: _________________________________
Anniversary Date: _______________________________
Previously Married: Yes No
Preferred method of contact:
____phone _____email _____text _____in person
Best time to contact you: ______________________
Income Sources (Salary, Bonuses, Pension, Social Security, Sale of Business)
Name
______________________
______________________
______________________
Income Source
_________________
_________________
_________________
Amount
_____________
_____________
_____________
Comments
___________________
___________________
___________________
Start/End Age
______/_______
______/_______
______/_______
Growth Rate
___________
___________
___________
1. AMT: Are you subject to AMT: Yes / No
2. Do you/will you support anyone else? Parents, siblings, in-laws? Yes / No
Expenses
Current annual living expense $________________________
EXTRAORDINARY EXPENSES: (Weddings, Charity, Major Purchases, etc.)
Expense Source
___________________________
___________________________
___________________________
Amount
_________________
_________________
_________________
Comments
_______________________________
_______________________________
_______________________________
Start/End Age
___________/___________
___________/___________
___________/___________
All information provided by Client
EDUCATION PLANNING:
Childs Name College Attending
Estimated
Tuition & Cost
Number Years
Attending
Percent you
estimate paying
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ASSETS
Real Estate Property
Name
Use Zillow Estimate?
Yes/No Fair Market
Value Current Liability
Mortgage Rate
Tax Basis
Ownership A/B/J/TIC/LT* Address
Primary
Home
Second
Home
Investment
Property
Other
Personal Property (Art, Jewelry, etc.)
Description
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
Current Value
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
Ownership A/B/J/TIC/LT *
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
Bank Accounts; Cash & Cash Equivalents (Checking, Savings, CD’s, T-bills, etc.)
Account Name Account Type
(Checking, Savings, CD, Money Market)
See Attached Statement
Current Value Ownership
A/B/J/TIC/LT*
* A: Client A B: Client B J: Joint TIC: Tenants in Common LT: Living Trust
All information provided by Client
7
Social Security
Name See Attached
Statement Dollar Amount
Expected Suspended? Actively
Receiving?
Retirement Accounts (401(k), IRA, Profit Sharing, Deferred Compensation, 403(b), Pension, SEP)
Account Name Account
Type Current Value
See Attached
Statement Ownership
A/B/J/TIC/LT* Beneficiary EE Contribution/ ER Contribution
Assumed Growth Rate
/
/
/
/
/
/
Investments (Non-Qualified)
Account Name
Account Type (UGMA, 529,
Trust)
See Attached
Statement Current Value Beneficiary Assumed
Growth Rate
* A: Client A B: Client B J: Joint TIC: Tenants in Common LT: Living Trust
All information provided by client.
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Annuities (Fixed, Variable)
Account Name Annuity
Type Investment Company
See Attached
Statement Tax
Basis
Assumed Growth
Rate Ownership
A/B/J/TIC/LT*
Anticipated Annuitization
Age
Annuities (Immediate)
Account Name Annuity
Type Investment Company
Annual Payment
Exclusion Ratio
Ownership A/B/J/TIC/LT* Start/End Age
/
/
/
Stock Option and RSU’s Worksheets
(Option and RSU Grants) See Statement
Stock Option or RSU?
Ticker Symbol or Company Name Grant Date
# Shares Granted
Exercise Price
Vesting Schedule
Number of Shares Sold
(if any)
Business Interests
Business Name
Fair Market Value
Tax Ba-sis
Business Type
Percent Ownership
Spouse Active?
Children Involved?
Future Plans For Business
Assumed Growth Rate
(For any business provide insurance documents)
* A: Client A B: Client B J: Joint TIC: Tenants in Common LT: Living Trust
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Liabilities
Type Liability Name Current Liability Date of Origin
Pay off Liability at Premature Death of:
Payment Amount
Interest Rate
Client A Client B
Life Insurance
(1) (2) (3) (4)
Insured
Insurance Company
Policy Type (Term, WL, VL,UL, etc.)
Purchase Date
Death Benefit
Annual Premium
Policy #
Cash Value
Owner
Beneficiary
Premium Due Date
Desired income in the event of your death? _______________________ Spouse’s death? _______________________
All information provided by client.
10
Disability Insurance
(1) (2)
Insured
Insurance Company
Policy Type (Individual, BOE, Buyout)
Purchase Date
Monthly Benefit
Annual Premium
Policy #
Waiting Period
Benefit Period
COLA Adjustment (Yes/No)
Long Term Care Insurance
Insured Insurance Company
Purchase Date
Daily Benefit
Annual Premium Policy #
Waiting Period
Benefit Period
COLA Adjustment
(Yes/No) Premium Due Date
Other Insurance Policies (Automotive, Homeowner’s, Umbrella Policy)
Type of Insurance (Auto, Home, Umbrella) Carrier Policy Amount Premium Deductible
All information provided by client.
11
Current Plan (Gifting)
Client A Will Yes No Client B Will Yes No
Do you have an Irrevocable Trust?
Living Trust Yes No
Living Trust Yes No
United Credit Planning
United Credit Planning
Current Plan (Wills & Trusts)
Check One Comments
Do you or your spouse plan to gift in the future? Yes No
Would you consider using gifting as a planning tool? Yes No
If so, expected number of gift recipients? Yes No
Have you or your spouse ever filed a gift tax? Yes No
Current Plan (Charitable Plans)
Name Name
Amount Gifted Per Year
Amount Gifted Per Year
Current Plan (Saving Commitment)
Account $ Amount/Year
Assumptions (Future Savings Commitment)
Client A - Financial Independence Age: ____________ Income Goal: ____________
Client B - Financial Independence Age: ____________ Income Goal: ____________
Goals & Objectives: 1. _______________________________________________________________________________
2. _______________________________________________________________________________
Account $ Amount/Year
12
Risk Profile
Please check the appropriate response for each question.
1. What is your investment experience with stocks or stock mutual funds?
A fair amount None
A great deal A little
Some
2. What is your investment experience with bonds or bond mutual funds?
3. What is your investment goal?
4. How many years do you have until retirement?
5. What do you expect to be your next major expenditure?
6. What are your major objectives for your investments, in order of importance? (Rank 1-5)
______ Current & future income ______ Building wealth for heirs
______ Preserving Capital ______ Keeping ahead of inflation
______ Increasing returns
7. When do you expect to use the bulk of the money you are accumulating in your investments?
None A fair amount
A little A great deal
Some
Retirement Saving for a major purchase
More current income Other: _______________________
Buying a home Amount __________________ Timing ______________________
Paying for college education Amount __________________ Timing ______________________
Capitalizing a new business Amount __________________ Timing ______________________
Providing for retirement Amount __________________ Timing ______________________
Other: ____________________ Amount __________________ Timing ______________________
0 to 1 year 1 to 5 years
5 to 10 years 10 to 20 years
Already retired 5 to 10
Less than 5 years More than 10
Securities offered through LPL Financial, Member FINRA/SIPC. Investment advice offered through WCG Wealth Advisors, a registered investment advisor. The Wealth Consulting Group and WCG Wealth Advisors are separate entities from LPL Financial.
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8. Over the next several years, do you expect your household annual income to:
9. I am expecting an inheritance of approximately $ _______________ in
10. Due to a general market correction, one of your investments loses 25% of its value in a short
time after you buy it. What do you do?
11. Some people need their investment portfolio to generate current income to meet on-going needs. This typically tilts the investment portfolio towards bonds and dividend-paying stocks. How accurately does this describe your objectives? 12. You have just reached the $10,000 plateau on a TV game show. Now you must choose between quitting with the $10,000 in hand or betting the entire $10,000 on one of the three scenarios below. Which would you choose? 13. How large of a temporary decline in your portfolio are you willing to accept before changing your investment strategy, assuming you start with $100,000? 14. By what percentage do you expect your portfolio to grow annually over the long term (10+ years)?
Decrease moderately Stay about the same
Decrease substantially Grow moderately
Grow substantially
0 to 5 years 10 to 15 years
5 to 10 years More than 15 years
Sell the investment Hold it & wait for it to climb back up, then sell
Hold it Buy more at the new lower price
Very accurate Slightly accurate
Moderately accurate Not accurate at all
Take the money & run A 20% chance of winning $75,000
A 50% chance of winning $50,000 A 5% chance of winning $100,000
10% decline (portfolio value is $90,000) 25% decline or greater (portfolio value is $75,000 or less)
15% decline (portfolio value is $85,000) 50% decline or greater (portfolio value is $50,000 or less)
20% decline (portfolio value is $80,000)
0% - 2% 4% - 6% More than 8%
2% - 4% 6% - 8%
Securities offered through LPL Financial, Member FINRA/SIPC. Investment advice offered through WCG Wealth Advisors, a registered investment advisor. The Wealth Consulting Group and WCG Wealth Advisors are separate entities from LPL Financial.
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____________________________________________________ _________________________________
Client Name Date
____________________________________________________ _________________________________
Advisor Signature Date
Notes:
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Notes (continued):
Securities offered through LPL Financial, Member FINRA/SIPC. Investment advice offered through WCG Wealth Advisors, a registered investment advisor. The Wealth Consulting Group and WCG Wealth Advisors are separate entities from LPL Financial.