Financial Advisor Client Intake Form

Financial Advisor Client Intake Form

Please complete this form to help us understand your financial situation and goals, so we can offer tailored advice.

Personal Information

Name

    Date of Birth

      Address

        Phone number

          Email

            Marital Status

              • Single

              • Married

              • Divorced

              • Widowed

              Number of Dependents

                Employment Information

                Occupation

                  Employer

                    Annual Income

                      Additional Income Sources (if any)

                        Financial Information

                        Total Assets

                          Total Liabilities

                            Current Savings

                              Investments

                              e.g., stocks, real estate

                                Debts

                                e.g., mortgages, loans, credit cards

                                  Investment Preferences

                                  Risk Tolerance

                                    • Conservative

                                    • Moderate

                                    • Aggressive

                                    Investment Goals

                                    Check all that apply.

                                      • Retirement

                                      • Education

                                      • Home Purchase

                                      Insurance Information

                                      Life Insurance

                                      Health Insurance

                                      Beneficiaries

                                        Estate Planning

                                        Do you have a will?

                                        Do you have a trust?

                                        Tax Information

                                        Current Tax Bracket

                                          • Low

                                          • Medium

                                          • High

                                          Tax Concerns (if any)

                                            Financial Goals

                                            Short-Term Goals (1-5 years)

                                              Long-Term Goals (5+ years)

                                                Major Future Expenses

                                                e.g., college, home purchase

                                                  Additional Notes or Comments

                                                    Client

                                                    Name:

                                                    Date:

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