Client Fact Finder

Client Fact Finder
Date

MonthDayYear
Client Information
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Marital Status
Date of Birth

MonthDayYear
Social Security Number
Phone Number

Area CodePhone Number
E-mail
Employment
Occupation
Salary
Stock Options
Bonus
Employer's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Dependents/Beneficiaries (Full names please)
Name
D.O.B.

MonthDayYear
Social Security Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name
D.O.B.

MonthDayYear
Social Security Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name
D.O.B.

MonthDayYear
Social Security Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name
D.O.B.

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Financial Information
Tax Bracket
Risk Tolerance
Will/Trust
Cash Accounts
Checking
Savings
CD's/Money Markets
Life Insurance
Cash Value
Total Death Benefit
Other Insurance
Disability
Long-Term Care
Real Estate (Primary)
Price Paid
Date of Purchase

MonthDayYear
Owned By
Market Value
Mortgage Balance
Term
Is your Rate
Investments
Bonds
Stocks
ETFs/CEFs
Mutual Funds
Options
Annuities
IRAs
401ks/403Bs
Pensions
529 Saving Plans
Other
Other Real Estate
Location/Description
Date of Purchase

MonthDayYear
Price Paid
Market Value
Mortgage Balance
Term
What are your concerns and/or questions?
Interest Rate
Salary
Type
Other Liabilities
Student Loans, Car Loans, Credit Card Debt
Net Worth
Liquid Net Worth
Net Worth
Questions
What are your concerns and/or questions?
Do you pay off your credit cards to $0 balances monthly?
Do you currently contribute to an employer retirement plan (401k, 403b)
At what age would you like to retire?
What are your financial goals?
Which of our services interest you?
Is there anything else that you would like to discuss?
Should be Empty:

Client Fact Finder

Client Information

Dependents/Beneficiaries (Full names please)

Financial Information

Cash Accounts

Life Insurance

Other Insurance

Real Estate (Primary)

Investments

Other Real Estate

Other Liabilities

Net Worth

Questions