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Initial Interview Form

To make the best use of our time together please complete and return this form to us before our meeting.

KFG Initial Interview Form

Date:
Name Person 1:*
Date of Birth Person 1:*
Phone Person 1:*
-
E-mail Person 1:*
Profession Person 1:*
Employer Person 1:*
Name Person 2:
Date of Birth Person 2:
Phone Person 2:
-
E-mail Person 2:
Employer Person 2:
Profession Person 2:
Address:
Do you have a will?*
Do you have a Living Trust?*
Do you have Life insurance?*
Whole Life ($):
Term ($):
Do you have an asset protection trust?*
Do you have long-term care insurance?*
Do you own any real estate in your own name?*
Do you Track Personal Expenses?*
Do you have a retirement plan?*
Do you have a small business?*
Have you Funded your Children's Education?*

INCOME

Annual Gross Income (Before Taxes):*
Annual Savings/Retirement Plan Contributions:*

ASSETS

Annuities:*
Savings, Money Market, CDs*
College Savings (529/Coverdell Plans)*
Taxable Investments (Stocks, Bonds, Options, REITS, Mutual Funds*
Investment Real Estate (Office Buildings, Rental Properties)*
IRAs, Roth IRAs, SEPs*
401K, 403b, 457, TSP, Simple*
Employer Pensions Plans (Defined Benefit, MPPP, Profit Sharing)*
Closely Held Business Interests(Partnerships, Corporations, Limited Partnerships)*
Home*
Second, Vacation Homes*
Personal Property:*
Total Assets:
$

LIABILITIES

Home Mortgage (First, Seconds, HELOCs)*
Consumer Loans (Credit Cards, Student Loans, Car Loans, Etc.)*
Investment Real Estate or Business Loans*
Total Liabilities:
$

NET WORTH

Total Net Worth (Assets less Liabilities)
$
Please prioritize the financial assistance you are seeking (1-Top Priority, 2-Second....6-lowest):
Total: 0/21
Tell us about your most important financial concerns and what you would like to accomplish through this engagement.
Tell us about your most important non-financial concerns right now?
Describe how you envision your lifestyle 5 years from now. (What are you doing or becoming, where, how, etc)
Describe previous experiences working with financial advisors. What was good/unsatisfactory?
Tell us how you make important investment decisions?
Tell us about future financial changes that you wish to plan for. (i.e.Family obligations /inheritances...)
During our review 3 years from now, what will need to have happened for you to be satisfied with your progress?
Tell us about past Litigation involvements. What happened?
Describe your ideal relationship with a financial planner.
Is there anything else we need to talk about? Any "special needs" situations you are responsible for?
Where did you hear about us?