Life / Client Update

"*" indicates required fields

Name*

First Last

Advisor Name*

Casey Short

Tony Rizzo

Jay Beerley

David McEntire

Dan Thomas

Date of Birth

MM slash DD slash YYYY

Please check which situation(s) apply

Change Status from Client to Spouse of Existing Client

Client Passed

Client Married

Client Divorced

Client New Baby / Family Member(s)

Client Illness

Client Retired

Client Switched Jobs

Client Moved

Change in Military Status

Other

Date of Passing*

MM slash DD slash YYYY

Proper Contact for Death Claim

Do we have a death certificate?*

Yes

No, please request.

Which custodians need to be notified?

Charles Schwab with PA

Charles Schwab with Gradient

American Equity

Allianz

North American

AIG

Delaware Life

Additional Custodians to Notify:

Please use plus sign on right to enter multiple custodians.

Is the Beneficiary a client?

Yes

Beneficiary Name

May need to update this person's plan

Make note to reach out to beneficiary for future seminars, etc.

Date of Marriage

MM slash DD slash YYYY

Name of New Spouse

First Middle Last

New Spouse's DOB

MM slash DD slash YYYY

Will new spouse become a client?

Yes

Please fill out Plan Creation/Update Form for New Client.

Please add new spouse to Redtail as Spouse of Existing Client.

Date Divorce is Final

MM slash DD slash YYYY

Is ex-spouse a client?

Yes

Please make adjustment in Redtail.

New Baby / Family Member(s)

Full Name

Date of Birth

To add more than one family member, click on plus sign on right.

Does Client want to update his/her beneficiaries on holdings?

Yes

Please fill out Beneficiary Change form.

Nature of Illness

Date of Retirement

Date of Job Change

Other situation

Please briefly describe the client's situation that needs attention.

Occupation

Employer

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Does client have Estate Documents?

Yes

Estate Documents

Type

Age

Is client Active Military?

Yes

Other updates or changes for existing client

Assets

Liabilities

Income

Expenses

Risk Tolerance

Investment Objectives

Net Worth

Assets - Select all that Apply

Current Retirement Plan (401k, 403b, etc)

Old Retirement Plan (401k, 403b, etc)

IRA

Roth IRA

Brokerage Account

Checking and Savings

Home

Auto

Other

Assets

Owner/Custodian of Current Plan

Amount

Notes

Use the plus icon to add rows.

Assets

Owner/Custodian of Old Plan

Amount

Notes

Use the plus icon to add rows.

Assets

Owner/Custodian of IRA

Amount

Notes

Use the plus icon to add rows.

Assets

Owner/Custodian of Roth IRA

Amount

Notes

Use the plus icon to add rows.

Assets

Owner/Custodian of Brokerage Account

Amount

Notes

Use the plus icon to add rows.

Assets

Checking and Savings Institution(s)

Amount

Notes

Use the plus icon to add rows.

Assets

Home

Value

Notes

Use the plus icon to add rows.

Assets

Auto

Value

Notes

Use the plus icon to add rows.

Assets

Other

Value

Notes

Use the plus icon to add rows.

Liabilities - Select all that Apply

Mortgage

Home Line of Credit

Auto Loan

School Loan

Credit Card (if balance carried over)

Other

Liabilities

Mortgage Amount

Monthly Payment

Interest Rate

Payoff Year

Notes

Use the plus icon to add rows.

Liabilities

Home Line of Credit

Monthly Payment

Interest Rate

Payoff Year

Notes

Use the plus icon to add rows.

Liabilities

Auto Loan Amount

Monthly Payment

Interest Rate

Payoff Year

Notes

Use the plus icon to add rows.

Liabilities

School Loan Amount

Monthly Payment

Interest Rate

Payoff Year

Notes

Use the plus icon to add rows.

Liabilities

Credit Card Balance

Monthly Payment

Interest Rate

Notes

Use the plus icon to add rows.

Liabilities

Other

Monthly Payment

Interest Rate

Notes

Use the plus icon to add rows.

Gross Income - Select All That Apply

Work

Spouse's Work

Social Security (Current)

Social Security (Estimated at FRA)

Spouse's Social Security (Current)

Spouse's Social Security (Estimated at FRA)

Rental Properties

Investment/Savings Recurring Distributions

Inheritance

Disability Payments

Other

Income

Work Income Gross Amount

Notes

Income

Spouse's Work Income Gross Amount

Notes

Income

Social Security Income Gross Amount

Notes

Estimated Social Security Income at FRA

Gross Amount

Notes

Income

Spouse's Social Security Gross Income Amount

Notes

Spouse's Estimated Social Security Income at FRA

Gross Income

Notes

Income

Rental Gross Income

Rental Net Income

Notes

Income

Investment/Savings Gross Distribution Amount

Notes

Inheritance

Amount

Notes

Disability Payments

Amount

Notes

Income

Other Income Amount

Notes

Annual Income

0 - $24,999

$25,000 - $49,999

$50,000 - $99,999

$100,000 - $249,999

$250,000 +

Estimated Monthly Essential Expenses (Non-discretionary)

Core living expenses like food, taxes, rent, insurance, utilities, etc.

Estimated Monthly Lifestyle Expenses (Discretionary)

Expenses to enhance your lifestyle like travel, and other interests.

Savings

Estimated Monthly General Savings

Notes

Savings

Estimated Monthly Retirement Savings

Notes (i.e. 401k, IRA, etc)

Current Risk Tolerance

Conservative

Conservative Growth

Balanced

Moderate Growth

Growth

Determine from New Risk Profile

Investment Objectives - Check All that Apply

Growth

Income

Safety of Principal

Liquidity

Tax Advantaged

Net Worth (not including primary residence)

$0 - $14,999

$15,000 - $49,999

$50,000 - $99,999

$100,000 - $249,999

$250,000 - $499,999

$500,000 - $999,999

$1,000,000 - $1,999,999

$2,000,000 +

Additional Notes or Instructions

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