1. GOALS AND PRIORITIES
How to complete: For all the goals you wish to complete in your lifetime, place an "X" next to the goal, complete the accompanying information, and fill out the appropriate time frame in YEARS.
WORK AND INCOME Transition to a more satisfying career or position Career or position desired Increase income earning potential Annual income desired Create better work/family balance Create better work/family balance (spouse) GIVING Maintain charitable giving Increase charitable giving Initial percentage goal Support additional charitable organizations Type
Time Frame
Time Frame
Time Frame
Amount
Time Frame
TAXES Reduce taxable income Other (describe)
DEBT Pay off the following debts: Owed To Credit cards Other Consumer Debt School loans Equity Line/2nd mortgage Car loan Other LIFESTYLE Reduce lifestyle expenses Maintain current lifestyle Increase lifestyle Category to increase Total Time Frame
Monthly Amount
Time Frame
1. GOALS AND PRIORITIES
FINANCIAL INDEPENDENCE Become financially independent Yearly need in today's dollars Increase retirement income (if currently retired) Additional Income Needed Per Month Time Frame
Time Frame
MAJOR FAMILY NEEDS Establish emergency reserve Amount desired Time Frame
Provide for future education expenses Person Name of College
Annual Cost
Time Frame
Other: Amount desired Other: Amount desired Other: Amount desired Time Frame Time Frame Time Frame
FREEDOM FROM DEBT Pay off the following LONG TERM debts: Type Amount
Time Frame
LIFESTYLE DESIRES Home purchase Home Price Home improvements Type Amount Time Frame Percent Down Payment Desired Time Frame
Automobile purchase Amount Time Frame
Other lifestyle desires Type Amount Time Frame
1. GOALS AND PRIORITIES
MAJOR CHARITABLE GIVING Create a long term charitable giving strategy based on my level of income Maximize my charitable giving at death Other major charitable giving goals Type
Amount
STARTING A BUSINESS Start my own business Type Initial Capital Time Frame
NET WORTH
Assets:
LIQUID ASSETS Money in Checking and Savings Accounts Dedicated To This Year's Expenses Money in Savings and Savings Accounts Dedicated to Emergency Reserve Money in Savings and Savings-Type Accounts Dedicated to Future Financial Goals Other Other Other
TOTAL LIQUID ASSETS
$0
NONLIQUID ASSETS INVESTMENT ASSETS Current Company Investment Plan 1 Current Company Investment Plan 2 IRA or Old Company Investment Plan 1 IRA or Old Company Investment Plan 2 Taxable Brokerage/Investment Account 1 Taxable Brokerage/Investment Account 2 Stock Options Value of Business Owned Other Other
TOTAL INVESTMENT ASSETS
$0
PROPERTY ASSETS Primary Residence Rental Home Automobile 1 Automobile 2 Furniture and personal property (estimated market value) Other Other Other
TOTAL PROPERTY ASSETS TOTAL NONLIQUID ASSETS
$0 $0
Liabilities:
CREDITOR BALANCE DUE INTEREST RATE MONTHLY PAYMENT NUMBER OF YEARS LEFT
Home Mortgage Auto Loan 1 Auto Loan 2 Equity Line of Credit 2nd Mortgage Credit Card Credit Card Credit Card Student Loan Other Other
TOTALS $ $ -
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Net Worth Analysis:
NET WORTH
Liquid assets Nonliquid assets
TOTAL ASSETS
Less total liabilities
NET WORTH
$0 $0 $0 $0 $0
**IF YOU RECEIVED THE ELECTRONIC STARTER KIT VIA EMAIL, PLEASE USE IT. ONLY USE THIS PAPER FORM IF YOU CANNOT USE THE ELECTRONIC VERSION
Exhibit A Income:
GENERAL SOURCES SPECIFIC SOURCES
CASH FLOW
INCOME FREQUENCY FREQUENCY AMOUNT TOTAL ANNUAL INCOME
Gross wages Gross wages Interest/Dividends Hobby Income Rental Income Self Employment Income Pension/Annuity Social Security Other Other Other
TOTAL GROSS INCOME
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
$0
Exhibit B Giving:
GIVING LOCATION CONTRIBUTION TYPE MONTHLY GIVING ANNUAL GIVING TOTAL ANNUAL GIVING
Church Other Other Other Other Other Other Other
TOTAL GIVING
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0
$0
Exhibit C Tax Liability:
DEDUCTIONS, WITHHOLDINGS, AND ESTIMATES WITHHOLDING ACTUAL YEARLY LIABILITY
Federal income tax State income tax Social Security tax Medicare tax
$0 $0
Exhibit D Debt Payment: (Do not include mortgage payments here)
CREDITOR BALANCE DUE INTEREST RATE MONTHLY PAYMENT NUMBER OF YEARS LEFT
Auto Loan 1 Auto Loan 2 Equity Line of Credit 2nd Mortgage Credit Card Credit Card Credit Card Student Loan Other Other
TOTALS
$ $ $ $ $ $ $ $ $ $
$
-
0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0
$0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
**IF YOU RECEIVED THE ELECTRONIC STARTER KIT VIA EMAIL, PLEASE USE IT. ONLY USE THIS PAPER FORM IF YOU CANNOT USE THE ELECTRONIC VERSION
Exhibit E Living Expenses:
Instructions: In the "FREQUENCY" column indicate how often you have the expense (Monthly, Quarterly, Yearly, Etc). In the "TYPE" column indicate whether is is the same amount each time you pay it ("Fixed"), a different time each time you pay it ("Variable"), an expense you use cash for, or a payroll deduction.
HOUSING
Mortgage/Rent Real Estate Taxes Insurance Gas Water Electricity Trash Cleaning/Housekeeping Cable/Satellite TV Home Phone Cell Phone Home Maintenance HOA Fees Gardener Other Other
FREQUENCY
TYPE
AMOUNT
ANNUAL AMOUNT
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Total Monthly Housing
$0
TYPE
Total Annual Housing AMOUNT
$0
ANNUAL AMOUNT
FOOD
FREQUENCY
$0
Total Monthly Food
$0
TYPE
Total Annual Food AMOUNT Total Annual Clothing TYPE AMOUNT
$0
ANNUAL AMOUNT
CLOTHING
FREQUENCY Total Monthly Clothing
$0 $0 $0
ANNUAL AMOUNT
AUTOMOBILE
Insurance Wife Gas Husband Gas DMV Smog Certification Maintenance/Oil Parking Other
FREQUENCY
$0 $0 $0 $0 $0 $0 $0 $0
Total Monthly Automobile
$0
TYPE
Total Annual Automobile AMOUNT
$0
ANNUAL AMOUNT
ENTERTAINMENT
Vacation Eating Out Activities Timeshare Magazines/Books Other Other
FREQUENCY
$0 $0 $0 $0 $0 $0 $0
Total Monthly Entertain.
$0
TYPE
Total Annual Entertain. AMOUNT
$0
ANNUAL AMOUNT
MEDICAL OOP
Doctor Dentist Medicine Glasses/contacts Other
FREQUENCY
$0 $0 $0 $0 $0
Total Monthly Medical OOP
$0
TYPE
Total Annual Medical OOP AMOUNT
$0
ANNUAL AMOUNT
INSURANCE
Life Medical Disability Dental Vision Other Payroll Deductions Long Term Care
FREQUENCY
$0 $0 $0 $0 $0 $0 $0
Total Monthly Insurance
$0
Total Annual Insurance
$0
**IF YOU RECEIVED THE ELECTRONIC STARTER KIT VIA EMAIL, PLEASE USE IT. ONLY USE THIS PAPER FORM IF YOU CANNOT USE THE ELECTRONIC VERSION
CHILDREN
School Lunches Allowance Lessons/Sports Childcare Other
FREQUENCY
TYPE
AMOUNT
ANNUAL AMOUNT
$0 $0 $0 $0 $0
Total Monthly Children
$0
TYPE
Total Annual Children AMOUNT
$0
ANNUAL AMOUNT
GIFTS
Christmas Birthday Anniversary Other
FREQUENCY
$0 $0 $0 $0
Total Monthly Gifts
$0
TYPE
Total Annual Gifts AMOUNT
$0
ANNUAL AMOUNT
MISCELLANEOUS
Toiletries Personal money husband Personal money wife Haircuts Dry Cleaning Office/Computer supply Bank charges Health club Pets Tax Preparation Other Other
FREQUENCY
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Total Monthly Misc.
$0
Total Annual Misc.
$0
TOTAL MONTHLY EXPENSES
$0
TOTAL ANNUAL EXPENSES
$0
Cash Flow Analysis:
GROSS INCOME: LESS EXPENSES
$0
Giving (from Exhibit B) Taxes (from Exhibit C) Debt (from Exhibit D)
TOTAL EXPENSES NET SPENDABLE INCOME LESS LIVING EXPENSES: (From Exhibit E)
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Housing Food Clothing Automobile Entertainment/Recreation Medical Out of Pocket Insurance Children Gifts Miscellaneous
TOTAL LIVING EXPENSES CASH FLOW MARGIN: Net spendable less living expenses MARGIN COMMITMENTS
Company Savings Plan Company Savings Plan Other Other Other Other Other Other Other
TOTAL EXISTING MARGIN COMMITMENTS
UNCOMMITTED MARGIN
$0 $0
Financial Documents Checklist
Subject Goals Income Source Goals and Priorities Tab Last two year's tax return (last year at a minimum) and W-2's, pay stubs (if applicable), 1099's if self-employed Cash Flow Tab Most recent plan statements, such as for a company plan, 401(k), Keogh, Simplified Employee Pension (SEP), Individual Retirement Account (IRA), Tax Sheltered Annuity (TSA), or other annuities, copy of most recent Social Security Benefit Statement
Expenses Retirement
Savings
Most recent statements from bank accounts, money market funds, certificates of deposit Most recent brokerage statements
Brokerage Accounts and Stock Options Insurance
Policies or contracts for life, disability, health, auto, home owners, renters, liability, long-term care, or any other insurance Employee benefits booklet Appraisals, loan information, or statements for your primary residence, as well as vacation and investment properites Estimates of current market value for precious metals, art, and other collectibles Current plus previous four years' balance sheets and profit-and-lossstatements, as well as buyout agreements and a business valuation/appraisal if you have one (include value of stock if publically traded) A copy of the trust, will, or other document detailing your inheritance (if available; if not, and the inheritance is certain, write the number on a piece of paper and include it) A copy of your own will, trust, or other document detailing what you wish to be done with your assets and liabilities when you die.
Employee Benefits Real Estate
Collectibles
Business Ownership
Inheritance
Estate Plan
The Stewardship Solution™
25101 The Old Road, Ste 136 Stevenson Ranch, CA 91381 (661) 829-4154
Directions from the San Fernando Valley: 1: Take the I-5 North. 2: Take the Calgrove Blvd. exit. 3: Turn left (West) onto Calgrove Blvd. 4: Turn right (North) onto The Old Road. 5: Located on the left-hand side of the road in the white Remax building.
Directions from Ventura: 1: Take the CA-126 East. 2: Merge onto the I-5 South toward Los Angeles. 3: Take the Pico Cyn. Rd./Lyons Ave. exit. 4: At the end of the exit continue to go straight through the intersection onto Marriott Way. 5: Turn left onto The Old Road. 6: Located on the right-hand side of the road in the white Remax building.