FINANCIAL PLANNING

FINANCIAL PLANNING Client Information S.I.N. Marital Status First Name and Initial Married Divorced Last Name Common Law Separated Occupation Widowed Single Name of Employer Birthdate Home Address Gender Male Female Street & Unit City Postal Spouse Information S.I.N. Home Number First Name and Initial Work Number Last Name Fax Occupation E-mail Name of Employer Birthdate Gender Male Female Dependent Information Name S.I.N. Birthdate Relationship Disability Age to begin (Month dd,yyy) (if any) Post-secondary Education (usually 18) Are any of these dependents children from a previous marriage? Yes No If yes, please indicate which children, with whom they are currently living and the amount/frequency of child support (if any): Lawyer Stock broker (if applicable) Firm Firm Name Name Address Address City City Province & postal code Province & postal code Phone number Phone number Fax number Fax number Email address Email address Primary banking Current insurance information broker (if applicable) Bank Firm Contact name Name Address Address City City Province & postal code Province & postal code Phone number Phone number Fax number Fax number Email address Email address Account type Account number Secondary banking Accountant institution/account Bank Firm Contact name Name Address Address City City Province & postal code Province & postal code Phone number Phone number Fax number Fax number Email address Email address Account type Account number Rank Importance (1 + highest Very Unimportant Important Very Important Extremely priority) Description unimportant Important Save for retirement Establish a regular savings plan Maximize RRSPs Reduce Income tax Emergency funds Dependent’s post-secondary education Reduce/eliminate consumer debt Saving for house down-payment Paydown mortgage Saving for renovations Travel/vacations Managing retirement income/pensions Preserving estate for heirs Care for dependents with special needs Description Importance Very Unimportant Important Very Important Extremely Rank unimportant Important (1 + highest priority) Safety of principal Liquidity Need for income Capital growth I don’t have any (or have very few) investments right now. I need help with the planning, implementation and management of my investment portfolio. I don’t have the time, inclination or knowledge to manage my investments. I need help with the planning, implementation and management of my investment portfolio. I don’t have the time or knowledge to manage my investments. I am interested in learning more. I need help with the planning, implementation and management of my investment portfolio. I don’t have the inclination or knowledge to manage my investments. I would like you to explain financial planning concepts in detail. I need help with the planning, implementation and management of my investment portfolio. I don’t have the time to manage my investments. I am comfortable discussing relatively complex financial planning concepts. I need help with the planning, implementation and management of my investment portfolio. I am able to acquire suitable investment products myself. I am comfortable discussing relatively complex financial planning concepts. I need help with the planning of my investment portfolio. I spend a considerable amount of time looking at my investment portfolio. I am comfortable discussing relatively complex financial planning concepts. Therefore, I need help only with the implementation of my investment portfolio. At what age to you wish to retire? Please review the assumptions that we make about economic indices and make any changes in the spaces provided (if applicable). Our assumption Your change C.P.I. The current Consumer Price Index rate is used to index government related items such CPP benefits and tax brackets Inflation The historical inflation rate is used to index personal items such as lifestyle expenditures and earnings Post secondary tuition cost index The tuition rate is used to index the cost of post-secondary education Real estate index The real estate rate is used to simulate the equity growth on properties such as a house Before tax equity investment return We will use either this general equity investment return or specific historical data for asset growth Before tax interest investment return For interest bearing investments, we will use either this general interest rate return Long term,Government of Canada bond rate This is used for maximum allowable withdrawal calculations of LIFs and LRIFs Due to the aging of Canada’s population, there is a concern that government benefits will not be available for future retirement in the state they exist today. If you do not wish to consider these benefits, you will need to rely more on your personal savings to provide income during retirement. Please indicate your personal preference on this matter. Do you wish to include CPP income during retirement? Yes No Do you wish to include OAS income during retirement? Yes No Employment income and amounts deducted at source #1 #2 #3 #4 Employment income for? Name of employer Weekly Weekly Weekly Weekly Pay Period Bi-weekly Bi-weekly Bi-weekly Bi-weekly Semi-monthly Semi-monthly Semi-monthly Semi-monthly Monthly Monthly Monthly Monthly Quarterly Quarterly Quarterly Quarterly AnnualAnnualAnnualAnnual Gross income C.P.P. E.I. Tax Union / professional dues R.R.S.P. contributions R.P.P. contributions Public health care Private health care Other deductions at source Other income Commissions Do not include commissions that you’ve already included in your gross employment income amount Bonus(es) Please indicate if the bonus is a periodic occurance (eg. every year) or a one-time lump sum Rental income Please indicate if rental income is split between spouses (if applicable) and if so, what is the percentage Self-employment income Please indicate if self-employment income is split between spouses (if applicable) and if so, what is the percentage C.P.P. If applicable, what is the amount of C.P.P. you receive and indicate the payment period (i.e. monthly,yearly,etc..) O.A.S. If applicable, what is the amount of O.A.S. you receive and indicate the payment period (i.e.monthly,yearly,etc..) Other pensions Do you receive amounts from other pension plans and if so, attach a copy of your most recent benefit statement R.R.S.P./R.R.I.F. Are you currently withdrawing funds from your R.R.S.P. or R.R.I.F.? If so, how much and how often? Other income Do you receive income from any other source(s)? If so, indicate the source, the amount and the payment period Indicate your current monthly expenses, the expenses you Current expenses Retirement Insurance expect to have when you retire (in today’’s $ and the expenses $ per $ per month $ per month you wish us to use when considering your insurance needs month $ per year $ per year $ per year Use details below Use details below Use details below Please estimate for me Please estimate for me Housing costs: Mortgage payment $ Rent Property taxes Insurance Utilities (water, gas and electric) Maintenance and repairs Other Household and living expenses: Food Telephone Personal care Clothing Medical/dental (direct costs) Child care Education Other Transportation expenses: Car payments Car insurance Gas/oil Maintenance and repairs Public transportation Other Insurance expenses: Life insurance Disability insurance Public health care Private heath/dental care Other Investment expenses:Prof. Fees, accounting, etc. Business loan payment RRSP loan payment Investment loan payment Other Recreation expenses: Travel Cable/satellite/video rentals Recreation/sports equipment and facility fees Recreational vehicle loan payments Other Discretionary: Gifts Charitable donations Dining out Tobacco and alcohol Entertainment Other Miscellaneous: Personal loan payments Credit card & other short term debt payments Professional/union dues When describing your investments, please indicate the tax status and, if possible, the asset group that the investment belongs to. To do this, use the following codes in the tables below: Tax status codes NRC Client’s Non-RRSP: Non-registered investment in client’s name (client’s non-registered portfolio) NRS Spouse’s Non-RRSP: Non-registered investment in spouse’s name (spouse’s non-registered portfolio) RC Client’s RRSP: Investment is part of client’s RRSP portfolio RS Spouse’s RRSP: Investment is part of spouse’s RRSP portfolio SRS The contribution to the RRSP was made by client to spouse’s RRSP (client’s spousal RRSP-spouse is annuitant) Asset group codes Cash or eq. The income from these investments is generally 100% interest Fixed These investments bear primarily interest income and a little capital gains (such as most bond mutual funds). Growth Equity investments in small companies that are growth-oriented. The income is mostly capital gains and some dividends (little to no interest). Value Equity investments in large capitalized firms (eg. blue-chips). The income comes from some capital gains and some dividends (little to no interest). Global Equity or fixed investments outside of Canada which can bear interest, capital gain or dividend income. Specialty These are high-risk specialized investments such as gold or resources. The income is mostly capital gains, some dividends (little to no interest). Balanced Investments that maintain a balance of three different types of income. Please indicate your current RRSP contribution amount and the frequency…..$ Monthly Annually Description Tax status Asset group # of units Net investment Market value $ Annual rate of code code (ACB) $ return % Description Tax status Asset group # of shares Net investment Market value$ Annual Annual code code (ACB) $ rate of dividend return % rate % Tax status Purchase price Face Market Purchase date Maturity date Coupon rate % Description code $ value $ value $ (Mmm dd,yyyy) (Mmm dd,yyyy) Tax status Description PurcPurcMatAnncode hase hase urity ual price date date inter (Mmm dd,yyyy) (Mmm dd,yyyy) $ est rate Tax status Face value$ Description PurcMatAnncode hase urity ual price date inter (Mmm dd,yyyy) $ est rate Series Type Tax Face value $ status code Compound Regular Compound Regular Compound Regular Compound Regular Tax status Net investment $ Market value $ Annual rate of return % Description code Asset group Tax status code # of shares Exercise price per Market value per share Description code share $ $ Loan #1 Loan #2 Loan #3 Description Borrower Client% Spouse% Client% Spouse% Client% Spouse% Use of funds (eg.car, investment, RRSP, etc.) Type (term,demand,fixed principal) Amount of loan Date of first payment Term of loan Interest rate Compound period (Weekly, bi-weekly, monthly, semi-monthly, quarterly or annual) Payment Payment frequency (Weekly, bi-weekly, monthly, semi-monthly, quarterly or annual) Debt #1 Debt #2 Debt #3 Description /card name Balance owing Annual interest rate Monthly payment Property #1 Property #2 Property #3 Ownership Client % Spouse % Client % Spouse % Client % Spouse % Type of property residence vacation residence vacation residence vacation rental other rental other rental other Address City and Postal code Date purchased Purchase price Property tax (annual) Content insurance (annual) Current market value Mortgage information Amount First payment date Term (years) Amortization period (years) Interest rate Compound period (Weekly, bi-weekly, monthly, semi-monthly, quarterly, or annual Payment Payment frequency (Weekly, bi-weekly, monthly, semi-monthly, quarterly,or annual) Mortgage insurance (annual) Description Type of asset Ownership % Purchase price Market value Client Spouse Vehicle Furnishing Other Art,antiques and collectibles Vehicle Furnishing Other Art,antiques and collectibles Vehicle Furnishing Other Art,antiques and collectibles Vehicle Furnishing Other Art,antiques and collectibles Vehicle Furnishing Other Art,antiques and collectibles Vehicle Furnishing Other Art,antiques and collectibles Vehicle Furnishing Other Art,antiques and collectibles Vehicle Furnishing Other Art,antiques and collectibles Vehicle Furnishing Other Art,antiques and collectibles Vehicle Furnishing Other Art,antiques and collectibles Vehicle Furnishing Other Art,antiques and collectibles Description Ownership % Amount $ Annual interest rate % Client Spouse Plan member Current value of Employer’s contributions (Complete the appropriate column) DPSP savings % of corporate profits % of employee earnings Fixed amount % Profits ($) % Salary ($) Amount ($) Plan member Current value of Current salary Contribution rates pension savings (pensionable Current If rates change with age earnings) Employee % Employer % Age Employee % Employer % Pension Plan #1 Pension Plan #2 Plan member Plan member Age at which payments commence Age at which payments commence Start date of sevice Start date of service Years until end of employment Years until end of employment Current commuted value of pension Current commuted value of pension Type of plan Type of Plan Career-average Avg. earnings to date: Career-average Avg. earnings to date: Best/Final # of years averaged: Best/Final # of years averaged: Flat benefit Monthly $/year of service: Flat benefit Monthly $/year of service: Flate benefit $fixed pension per month: Flate benefit $fixed pension per month: Pensionable earnings Pensionable earnings Current salary (pensionable earnings)………….. Current salary (pensionable earnings)………….. Index pensionable earnings?………YesNo % Index pensionable earnings?………YesNo % Pension benefits Pension benefits Benefit rate per year of service Benefit rate per year of service For pensionable earnings below YMPE (%) % For pensionable earnings below YMPE (%) % For pensionable earnings above YMPE (%) % For pensionable earnings above YMPE (%) % Cap on final pension benefits as a % % Cap on final pension benefits as a % % Are pension benefits indexed Are pension benefits indexed Throughout retirement? YesNo % Throughout retirement? YesNo % Is pension integrated with CPP? YesNo % Is pension integrated with CPP? YesNo % Is pension reduced due to Is pension reduced due to Early retirement? YesNo % Early retirement? YesNo % Percentage of benefits that survivor Percentage of benefits that survivor Receives upon annuitants death % Receives upon annuitants death % Will(s) Do you have a will? Yes No Yes No When did you last review your will? Who is the executor and what is their relationship to you? Where are copies of your will located? Have you selected a guardian for your children? Yes No Yes No If yes, what is the name and address of the guardian? Comments Type Company, Policy holder Insured Beneficiary Premium and Face Policy number / name frequency amount $ Term Whole life Monthly Group Annual Other Term Whole life Monthly Group Annual Other Term Whole life Monthly Group Annual Other Term Whole life Monthly Group Annual Other