Steven Young Financial Planning
910 West Battlefield, Springfield, Missouri

 

Questionnaire

For our first meeting together there are two objectives:

  1. I need to learn about you – in order to determine how I might best serve you. I want to know about your goals, your values, your concerns, your financial circumstances, and what you want out of an advisory relationship.

  2. You need to learn about me – so you can decide if I am the right financial advisor for you. I want to make sure that you understand what I do, how I work, and what the benefits to you would be of choosing me as your financial advisor. I will try to answer any questions you have about working with me, the costs involved, and what your experience would be like in working with me.

Since this initial visit will be used by both of us to learn about the other and no substantial financial advice will be offered, there will be no charge for this first meeting. To facilitate our conversation and make our time together as productive as possible, please take a few moments to provide me with the following information:

General Information

Client One
Full Name Employer
Date of Birth Job / Title
Phone Number of years working here
E-mail Anticipated Change? Yes No
Preferred method of contact: Phone Email When do you plan to retire?
Address    
City Income (Monthly Gross)  
State Salary / Tips
Zip Bonus / Commissions
    Self-Employment
    Pension
    Social Security
    Total Income
       
Client Two (Spouse / Partner)
Full Name Employer
Date of Birth Job / Title
Phone Number of years working here.
E-mail Anticipated Change? Yes No
    When do you plan to retire?
       
    Income (Monthly Gross)  
    Salary / Tips
    Bonus / Commissions
    Self-Employment
    Pension
    Social Security
    Total Income

Financial Information / Status


For Assets and Liabilities approximates are fine, we will get details later.

Please specify the "Owner" as either Client One, Client Two, or Joint / Trust. Below is an example:

***Sample Only***
CD's  
Owner Value
John Doe
$5,000
Jane Doe
$10,000
Joint
$6,000

 
Assets
       
CD's   Brokerage Accounts  
Owner Value Owner Value
       
Retirement Plans (401K, 403-B, etc.) IRA's - Traditional  
Owner Value Owner Value
    IRA's - ROTH  
  Value Owner Value
Primary Residence
Secondary Residence
Automobiles
   
   
   

Liabilities
Credit Card Debt      
Card Name Amount Owed Auto Loans Amount Owed
Auto 1
Auto 2
Auto 3
       
Residential Mortgage   Other Debt / Liabilities  
Primary Residence Type Amount Owed
Secondary Residence
HELOC
   

Please comment on the advice you seek.

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Copyright © 2010 Steven Young Financial Planning

NAPFA financial advisor, springfield, mo
Steven Young is a Registered NAPFA Financial Advisor and Certified Financial Planner (tm) Practicioner.

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