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appreciationINSURANCE & FINANCIAL SERVICES

Opening & Positioning Statement

Typically when people book these appointments, they are looking for information in regards to how much guaranteed income they will have at retirement, what kind of role taxes will play, as well as questions regarding Social Security and other current investments. Is that kind of what you're looking for?

So for today, I'm going to ask you some basic questions to help me understand what you're currently doing. I will get with my team. Then we will come back with your income analysis, including any other exposures you might want to start planning for.

Sound fair?

Apex
AGENCY PARTNERS
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appreciationINSURANCE & FINANCIAL SERVICES
INTAKE FORM
RECORDING PERMISSIONS:   INTAKE DATE:   PAYSTUB?
The purpose of this meeting is to ask questions so that we can come back and show you how much income you'll have at retirement based on what you are currently doing and identify any other exposures you may want to plan for.
Name: Work Location:
Cell Phone: Email: DOB: Age: — Estimated start age:
Position: When was the last time you had a pension review? Years of Service:
Annual Income: $ ÷ 12 = $ / Month Retirement Age: Married: Kids?
Previous Employment:
Spouse's Name: Age: Occupation: Annual Income: $
Your Expected Social Security Age: Amount: $ Spouse's Expected Social Security Age: Amount: $
Do you OWN or RENT? Mortgage Balance: $ Need to live on in retirement: $ / MO.
Who is the beneficiary to your retirement?
If something happened to you, would they want to know how all this works?
How much are you contributing to your 403(b)? 401(k)?   (Repeat for each asset)
Assets Contributions / Increase? What company is that with? How long? / Current value What are you saving this for?
1. Income   2. Legacy   3. Large Purchase
Do you know income amount, legacy tax treatment, and how taxes work?

DEBT

Credit Card / Personal Loans: $ Student Loans: $ Medical: $
Other:

INSURANCE

Outside life insurance at work, how much do you carry? $ Who is that with? What is the purpose?
How about your spouse?
Long-term care or critical illness plans?   Listed as beneficiary on anyone else's policy?
Do you know if these policies are the new kind or old kind?   Expecting an inheritance?
I'm going to get with my team to prepare your analysis. My team consists of fiduciaries, tax specialists, pension experts, and many others. I may have one of them in our next meeting if anything comes up.

ADVISOR NOTES

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appreciationINSURANCE & FINANCIAL SERVICES

GAPS FOR OUR NEXT APPOINTMENT

GAPS FOR OUR NEXT APPOINTMENT

GAPS NOT CURRENT INVESTMENTS

RESET FOLLOW-UP APPOINTMENT

Date: Time: In Person or Zoom? Will spouse be present?
Open to extra income?

GIVE BACK / REFERRALS

As part of our give back program, our company requires me to give away five Starbucks cards before I leave campus each day. I'd like to give them to people you know. Here's one for you. Who would you like for me to give the remaining four on your behalf?

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OPEN THREE AGREEMENTS — CLOSING

  1. When I or my team calls, please answer or call right back.
  2. Agree to meet at least once a year to review the plan.
  3. Introduce me to friends and family who may have the same problem we identified here today.
Client initials:   Advisor initials:
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appreciationINSURANCE & FINANCIAL SERVICES

NOTES & REMINDERS