Section A — General Information
Does the client have a spouse/partner?
Client *
Any dependents?
Section B — 5 Retirement Questions
Your Retirement Vision
Final Question
If we could put a plan in place that would allow you to retire at age ______ with ______ saved up, and it paid you ______ in income every year in retirement, and it also allowed you to accomplish all the goals we discussed, is there any reason why you wouldn't let our Firm implement that for you for FREE?
The bracketed values above fill in automatically from your answers to questions 1–3. Leave any blank to see “______”.
Section D — Asset Accumulation (Tax Buckets)
Taxable
Assets are generally positioned for current or short-term needs that can best be served with highly liquid investment instruments.
Bank Savings/CDs
| Investment/Asset Name | Balance ($) | Monthly ($) | |
|---|---|---|---|
Mutual Funds / Stocks
| Investment/Asset Name | Balance ($) | Monthly ($) | |
|---|---|---|---|
Tax Deferred
Assets are for long-term needs. Invested in less-liquid investments where any growth or interest is ultimately taxable at distribution.
401(k) or qualified plans
| Investment/Asset Name | Balance ($) | Monthly ($) | |
|---|---|---|---|
IRA or non qualified plans
| Investment/Asset Name | Balance ($) | Monthly ($) | |
|---|---|---|---|
Tax Exempt
Assets are positioned for the future since they receive preferential tax treatment during accumulation and at distribution.
Roth IRA
| Investment/Asset Name | Balance ($) | Monthly ($) | |
|---|---|---|---|
Cash Value Life Insurance
| Investment/Asset Name | Balance ($) | Monthly ($) | |
|---|---|---|---|
Income Assets
Add each income-producing asset. Yearly income is calculated automatically as monthly × 12. Net income is calculated after applying the tax bracket (net = income × (1 − bracket%)).
| Asset Name | Balance ($) | Monthly Income ($) | Yearly Income ($) | Tax Bracket (%) | |
|---|---|---|---|---|---|
$0 |
Please note the following: Certain events and distributions may be subject to taxation and individuals would be responsible for the appropriate liability. This piece provides general information regarding the Internal Revenue Code and does not take into consideration specific state laws. SVN Agency does not provide tax advice and strongly recommends that clients consult a tax advisor concerning any tax issues relating to their investments.
Section E — Asset Accumulation (Preserve Your Estate)
Real Estate Owned Free & Clear
| Asset Description | Market Value ($) | Cost Basis ($) |
|---|
Vehicles and Boats Owned Free and Clear
| Asset Description | Market Value ($) | Cost Basis ($) |
|---|
Collectibles, Antiques, Jewelry, etc.
| Asset Description | Market Value ($) | Cost Basis ($) |
|---|
Section G — Bringing It All Together
Your Next Step
The next step is for us to sit down, go over what we found, and walk you through the options that make the most sense for you.
When would you like to schedule that follow-up?