Personal Financial Overview

We can better tailor services to fit your unique needs if you provide us with an overview of your economic, estate, retirement and risk management needs from your point of view. Please take a few moments to fill in the questionnaire below. If you have problems submitting this form or don't feel comfortable submitting information via the Internet, you can download and print an MS-Word version of the form and mail it to us at 736 Lower State Road, Building B, North Wales, PA 19454 or fax (215) 646-7001.

 

CONTACT INFORMATION

    

Name:
Address:

E-Mail:
Phone:

FINANCIAL OUTLOOK

HINT: Use your tab key to advance more easily through this set of questions.

Please indicate whether the following statements describe you.

I know what I want to accomplish financially
My spouse clearly understands our financial situation
My spouse actively participates in our financial affairs
I have my financial objectives written on paper
I am good at managing my income and expenses
I maintain a list of my current assets and liabilities
I systematically save and accumulate money for investment
I am currently saving enough to meet my financial objectives
I am comfortable with the amount of risk I am taking with my current investments
I am satisfied with the returns on my investments
I clearly understand all my investments, goals and finances
I clearly understand how my investments impact my tax liability
I would like assistance in organizing my financial planning

RETIREMENT PLANNING

HINT: Use your tab key to advance more easily through this set of questions. Press "Y" for "Yes"; "N" for "No"; or "U" for "Unsure."

Please indicate whether the following statements describe you.

I have projected my retirement income needs and sources
I am currently saving enough to meet my retirement needs
I participate in a retirement plan through my employer
My spouse participates in a retirement plan through his/her employer
I have retirement savings outside my employer's plan
My spouse has retirement savings outside of his/her employer's plan
I understand "tax deferral," "tax deduction" and "compounded growth"
I maximize contributions to all my retirement accounts
I understand the effects of taxes and inflation on my savings and retirement income
I have a specific distribution strategy for my retirement funds
I would like assistance in organizing my retirement plans

ESTATE ORGANIZATION

HINT: Use your tab key to advance more easily through this set of questions. Press "Y" for "Yes"; "N" for "No"; or "U" for "Unsure."

Please indicate whether the following statements describe you.

I am well informed about estate planning
My spouse understands our estate plans
I have a current, valid will or trust in my files
My spouse has a current, valid will or trust in his/her files
I have appointed a guardian for my minor children
I have a specific plan for distribution of my assets
My beneficiary designations are up to date
I maximize contributions to all my retirement accounts
My powers of attorney are consistent with my will/trust
I have a list of all important documents and their locations
I have named an executor, who is familiar with the contents and location of my will/trust and other important papers
I understand the terms "estate" and "inheritance tax" and how they affect my estate planning
I fully understand the effects a premature death will have on my retirement plan assets and family lifestyle
I know exactly what my heirs will receive from my estate
I would like assistance in organizing my estate plans

INSURANCE PLANNING

HINT: Use your tab key to advance more easily through this set of questions. Press "Y" for "Yes"; "N" for "No"; or "U" for "Unsure."

Please indicate whether the following statements describe you.

I own and understand my current life insurance policy
My spouse owns and understands his/her current life insurance policy
I review my insurance policy needs regularly
I understand Social Security Death Benefits
I am familiar with the uses of life insurance plans beyond the death benefit
I am satisfied that my current insurance agent explains things clearly
I have minimized my insurance costs through long-term planning
I maximize contributions to all my retirement accounts
I would like assistance with my life insurance planning

IN THE NEXT YEAR I PLAN TO:
GraduateBuy a homeChange jobs
Sell propertyRefinance a homePurchase long-term care
Get married Have a childRetire
Pay off a loan Save more moneyStart a business
Purchase/lease propertyReceive a promotionReceive an inheritance
Start a financial planInvest more moneyOther

PERSONAL PRIORITIES:
Review life insurance Review mortgage protectionInflation/standard of living update
Retirement savingsDisability income protection Business valuation/review
Education funding for childrenInsurance for childrenOther

PLANNING PRIORITIES:
Savings and accumulationBuilding personal wealthPersonal estate organization
Pension maximizationPlanning for retirementEstate tax concerns
Business continuation concernsInvestment priority planningOther