Docstoc

Discovery Questionnaire

Document Sample
Discovery Questionnaire Powered By Docstoc
					                                      Discovery Questionnaire
                                       Strictly Private and Confidential



                         Client Name:



                                                   Date:


                         Adviser Name:



                                                  Monet Financial Solutions
                                              Suite 13, Level 2, 25 Solent Circuit
                                                   Norwest Business Park
                                               BAULKHAM HILLS NSW 2153
                                                       Phone: (02) 9680 3288
                                                         Fax: (02) 9680 3122
                                                     PO Box 7340
                                              BAULKHAM HILLS DC NSW 2153


                                           IMPORTANT NOTICE TO CLIENTS
In order for us to provide financial planning advice to you, we need to have a reasonable basis for that advice. The information requested
in this Discovery Questionnaire is one of the tools we use to establish the basis for the advice we will provide. It is therefore important for
you to complete this document as accurately and fully as possible. Failure to do so could result in advice being provided that is not
appropriate to your individual needs, circumstances and objectives.



                                       Apogee Financial Planning Limited ABN 28 056 426 932
                                    Australian Financial Services Licensee and Insurance Broker
                               Registered Office at 105 – 153 Miller Street NORTH SYDNEY NSW 2060




                                                              PART B


                      Page 1 of 18             Monet Financial Solutions Discovery Questionnaire – Part B (Sept 2006)
INVESTMENTS
Cash and Fixed Interest Investments
Name of Investment                         Owner           Amount             Rate         Gross              Term   Maturity
                                                           Invested           (%)       Income p.a.




Managed and Direct Share Investments
Type            Name of             Owner     Investment             Amount               Current        Current      Gross
              Investment                         Date                invested              Unit           Value      Income
                                                                                          Balance                      p.a.
CMT’s



Unit
Trusts




Direct
Shares



Super




Allocated
Pensions



Insurance
Bonds



Direct Property
Location                         Owner    Purchase           Purchase            Market            Debt          Gross Rental
                                            Date               Price             Value                             Income




                  Page 2 of 18       Monet Financial Solutions Discovery Questionnaire – Part B (Sept 2006)
DETAILS OF LIABILITIES
  Loan Type              Lender              Amount         Interest      Fixed /      Interest     Repayments             Early
                                                              Rate        Varied         Only                            Repayment
                                                                                                                          Penalty
                                                                                      Yes/No           (W/ F/M)
                                                                                      Yes/No           (W/F/M)
                                                                                      Yes/No           (W/F/M)
                                                                                      Yes/No           (W/F/M)



RISK MANAGEMENT AND INSURANCE PLANNING
Personal Insurance
 Type of Cover                     Insurer           Life          Cover         Annual           Stepped        Waiting     Benefit
                                                   Insured                      Premium           or Level       Period      Period
 Income Protection                                                     p.m.
                                                                       p.m.
 Private Health


 Term Life


 TPD


 Critical Illness




Current Cover
 Business Expenses Insurance
 Insurer
 Policy Owner
 Policy Type
 Date of Commencement
 Total Annual Premium
 Monthly benefit
 Benefit Period
 Waiting Period
 Indexed to CPI                                                               Yes / No                                Yes / No
 Loading / Exclusions




NOTES:

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________


                    Page 3 of 18             Monet Financial Solutions Discovery Questionnaire – Part B (Sept 2006)
Determining Your Investment Risk Profile
When investing it is important that you consider the level of risk as well as the return on an investment
in view of your circumstances and investment goals. Risk means different things to different investors.
For some, investment risk means the likelihood of a loss of capital, while for others it is the level of
volatility of an investment, or the risk of an asset not producing enough to live on.
This Investment Risk Profile questionnaire has been designed to assist you in making an investment
decision. It asks some questions regarding your goals, time frames and comfort with investments to
provide a guide to your investor profile. Your investor profile then determines a benchmark asset
allocation for your investments. Please complete the questions below by choosing the answer which
most closely describes you.

1.   For how long would you expect most of your money to be invested before you would
     need to access it?
     Less than 12 months                                                                                             10
     Between 1 and 3 years                                                                                           20
     Between 3 and 5 years                                                                                           30
     Between 5 and 7 years                                                                                           40
     Longer than 7 years                                                                                             50
                                                                                                             Score

2.   If you consider current interest rates what overall level of return (after inflation) do
     you reasonably expect to achieve from your investments over the period you wish to
     invest for?
     A reasonable return without losing any             10                  1-3%                    20
     capital *
     4-6%           30              7-9%                40                  Over 9%                 50       Score


3.   Assuming you had no need for capital, how long would you allow a poorly
     performing investment to continue before cashing it in (assuming the poor
     performance was mainly due to market influences)?
     You would cash it in if there was any loss in 0         Less than 1    10
     value*                                                  year
     Up to 3 years 20                Up to 5       30        Up to 7 years  40
                                     years
     Up to 10       50                                                                                       Score
     years



4.   How familiar are you with investment markets?
     Very little understanding or interest                                                                           10
     Not very familiar                                                                                               20
     Have had enough experience to understand the importance of diversification                                      30
     I understand that markets may fluctuate and that different market sectors offer different                       40
     income,
     growth and taxation characteristics
     I am experienced with all investment classes and understand the various factors that may                        50
     influence performance.
                                                                                                             Score

                 Page 4 of 18       Monet Financial Solutions Discovery Questionnaire – Part B (Sept 2006)
5.   There is generally a greater tax efficiency when investing in more volatile
     investments. With this in mind, which of the following would you be more
     comfortable with?

     Preferably guaranteed returns, ahead of tax-savings                                                                    10
     Stable, reliable returns with minimal tax savings                                                                      20
     Some variability in returns, some tax savings                                                                          30
     Moderate variability in returns, reasonable tax savings                                                                40
     Higher variability but potentially higher returns, maximising tax savings                                              50
                                                                                                                    Score


6.   What would your reaction be if six months after placing your investments, you discovered that due
     mainly to market conditions your portfolio had decreased in value by 20%?
     Horror – Security of your capital is critical and you do not intend to take risks.*                                    10
     You would cut your losses and transfer your funds to more secure investment sectors.                                   20
     You would be concerned, but would wait to see if the investments improve.                                              30
     This was a risk you understood – you would leave your investments in place expecting                                   40
     performance to improve.
     You would invest more funds to take advantage of the lower unit/share prices expecting                                 50
     future
     growth.
                                                                                                                    Score


7.   Which of the following best describes your purpose for investing?
     You have an investment time frame of over 5 years. You understand investment markets                                   50
     and are
     mainly investing for growth to accumulate long-term wealth, or are prepared to use
     aggressive
     investments to provide income.
     You are not nearing retirement, have surplus funds to invest and are aiming to accumulate                              40
     long
     term wealth from a balanced portfolio.
     You have a lump sum (eg inheritance or a superannuation rollover payment from your                                     30
     employer)
     and you are uncertain about what sort of investment alternatives are available.
     You are nearing retirement and you are investing to ensure you have sufficient funds                                   20
     available to
     enjoy your retirement.
     You have some specific objectives within the next 5 years for which you want to accumulate                             20
     sufficient funds.
     You want to provide a regular income and/or totally protect the value of your investment capital.*                     10
                                                                                                                    Score


     Your Score here determines your Investor Risk Profile. An explanation of the profile in              Total
     relation to your score is detailed over page and will also be provided as part of your               Profile
     written recommendation.



                   Page 5 of 18           Monet Financial Solutions Discovery Questionnaire – Part B (Sept 2006)
* If you have answered this question (Q5) and your total profile score is less than 100 (Very Conservative
Investor), then detail in the notes below your preference for a greater return against your preference for the
protection of your investment capital.

NOTES:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________



                                                                                                                              Benchmark
                                                Investor Profile                                                              Asset mix**
Very Conservative “Cash” (0-100 Points)
May be suitable for investors with a short-term investment horizon or a very low                                            100% Cash
tolerance for risk, seeking a return similar to cash rates.

Conservative “Fixed Interest” (101-140 Points)
May be suitable for investors with an investment horizon of at least 3 years and a low risk tolerance,                      100%
seeking higher than cash returns over the investment timeframe.                                                             Defensive
Moderately Conservative “Capital Stable” (141- 170 Points)
May be suitable for investors with an investment horizon of at least 3 years and a low to moderate risk                     70% Defensive
tolerance, seeking regular income and the opportunity for some growth over the investment                                   30% Growth
timeframe.
Moderate “Conservative Growth” (171-200 Points)
May be suitable for investors with an investment horizon of at least 3-5 years and a moderate risk                          50% Defensive
tolerance, seeking a mix of income and growth over the investment timeframe from a well-diversified                         50% Growth
portfolio. This strategy suits investors aiming for a return higher than what is likely from a portfolio
dominated by defensive assets but who want lower volatility than what a share fund would likely
generate.
Assertive “Balanced” (201-250 Points)
May be suitable for investors with an investment horizon of at least 5 years and a moderate risk                            30% Defensive
tolerance, seeking more growth than income over the investment timeframe. This strategy suits
                                                                                                                            70% Growth
investors aiming for a return higher than what is likely from a more defensive portfolio but who want
lower volatility than what a share fund would likely generate.
Moderately Aggressive “Growth” (251- 300 Points)
                                                                                                                            15% Defensive
May be suitable for investors with an investment horizon of at least 5-7 years and a moderate to high
risk tolerance, seeking a high exposure to growth assets.                                                                   85% Growth
Aggressive “Share” (301-350 Points)
May be suitable for investors with an investment horizon of at least 7 years and high                                       100% Growth
risk tolerance, comfortable with a share portfolio dominated by Australian and
international shares.

** This demonstrates the benchmark Defensive/Growth asset mix for each investor profile. Defensive assets, such as cash and fixed interest are
expected to grow at a slower rate over the longer term but are expected to experience less volatility. Growth assets, such as property and shares
have historically grown at a rate greater than inflation over time and usually produce higher returns than defensive assets but can also
demonstrate greater volatility in the short term.




                      Page 6 of 18             Monet Financial Solutions Discovery Questionnaire – Part B (Sept 2006)
Risk & return discussion tools
Having an understanding of what you want your investments to achieve is an important part of the financial planning process.

You must be rational and ensure that your investments assist you in achieving your goals. To do this you must focus on
objective and time frame.

Risk Profile: Spectrum of Return/Risk (for illustrative purposes)




Volatility of Asset Class Returns from 1991-2005 (15 Years)
                                                 Australian          Global                                          Internatio
       Calender                                     Fixed             Fixed            Listed           Australian       nal
         Year                Cash1                Interest2         Interest3         Property4          Shares5      Shares6
        1991                    11.22%             24.74%            18.41%            20.08%             34.24%     20.64%
        1992                     6.94%             10.42%            11.08%            6.99%              -2.31%       5.55%
        1993                     5.38%             16.34%            14.73%            30.12%             45.36%     24.43%
        1994                     5.37%             -4.66%            -2.63%            -5.57%             -8.67%      -7.62%
        1995                     8.05%             18.64%            20.11%            12.74%             20.19%     26.65%
        1996                     7.58%             11.89%            10.66%            14.49%             14.60%      6.71%
        1997                     5.63%             12.22%            10.45%            20.31%             12.23%     42.19%
        1998                     5.15%              9.54%            10.41%            17.95%             11.63%     32.82%
        1999                     5.01%             -1.21%             0.86%            -4.97%             16.10%     17.57%
        2000                     6.27%             12.08%            10.10%            17.85%             4.80%       2.49%
        2001                     5.24%              5.45%             7.40%            14.60%             10.49%      -9.65%
        2002                     4.77%              8.81%            11.23%            11.76%             -8.64%     -27.14%
        2003                     4.90%              3.05%             5.57%            8.80%              14.96%      -0.29%
        2004                     5.62%              6.96%             8.98%            32.01%             27.92%     10.43%
        2005                     5.74%              5.80%             7.55%            12.50%             22.45%     17.39%
 Best 1 year return             11.22%             24.74%            20.11%            32.01%             45.36%      42.19%
 Worst 1 year
 return                            4.77%           -4.66%             -2.63%            -5.57%            -8.67%     -27.14%
 15 year average
 return                            6.19%            9.34%             9.66%            13.98%             14.36%      10.81%
 1
   UBS Warburg Australia 90 Day Bank Bill
 2
   UBS Warburg Australia Composite Bond All Maturities
 3
   Citigroup World Government Bond Index (AUD Hedged)
 4
   S&P/ASX 200 Listed Property Trust Index
 5
   S&P/ASX 300 (All Ordinaries before 1/4/2000)
 6
   MSCI World ex-Australia (Gross Div $A)



* Illustrative purposes only. It is important to note that past performance is no indication of
   future performance.

                    Page 7 of 18           Monet Financial Solutions Discovery Questionnaire – Part B (Sept 2006)
Accountants Details                              Client                                              Partner


Company Name:

Accountants Name:

Postal Address:

Phone:

Fax:

Mobile:

E-mail:



Solicitors Details                               Client                                              Partner


Company Name:

Solicitors Name:

Postal Address:

Phone:

Fax:

Mobile:

E-mail:


YOUR LIFESTYLE GOAL AND OBJECTIVES

 1. What level of funds do you wish to retain for liquidity? $___________



 2. What is your investment timeframe? (Please circle)         1 - 2 Years / 3 - 5 Years / 5 Years plus / Retirement



 3. What level of income is required to meet your living requirements? $___________



 4. What are you seeking from your investment? (Please circle)          Income / Growth / Combination



 5. What are your short to medium term expenses?

   What:
   When:
   How much?


 6. What are your long term objectives?


                   Page 8 of 18      Monet Financial Solutions Discovery Questionnaire – Part B (Sept 2006)
OUR ACKNOWLEDGMENTS
Information in this form
The information provided in this Discovery Questionnaire is complete and accurate to the best of my/our
knowledge (except where I/we have modified the information and/or indicated that I/we have chosen not to
provide the information).
I/We understand and acknowledge that by either not fully or accurately completing the Discovery
Questionnaire and any other supplementary information, any recommendation or advice given by the
adviser in these circumstances may be inappropriate to my/our needs and that I/we risk making a financial
commitment to an investment policy that may be inappropriate to my/our overall investment objectives,
financial situation and particular needs.

I/We have read and understood the Financial Services Guide version 3.0 prior to obtaining investment
financial services and/or recommendations and acknowledge that this has been previously provided to
me.
Information and Privacy Agreement

1.     I/We agree that:
       Subject to the authorisation of the preparation of a Statement of Advice (incorporating financial plan),
       I am/we are to receive the following advisory services from the adviser named in this Client Profile
       [“adviser”] and understand that my/our personal information (including any sensitive information
       such as health information, membership of professional organisations and sexual preferences and
       practices [“sensitive information”]) is being collected primarily for these purposes:

            Retirement planning
            Estate planning
            Superannuation
            Investment planning
            Budgeting
            Managed investment schemes
            Life, trauma insurance and income protection insurance
            Gearing
            Direct equities
            Instalment warrants
            Banking including credit and debit products
            Arranging for the acquisition and disposal of all relevant products of the type described
            above; and
            An ongoing review service for my/our investment portfolio or life insurance program.
       Your adviser will only provide you with advice that your adviser is permitted to offer you.

     *** Please select from the above options, the areas that you require advice on ***

2.     I/We also consent to the disclosure of my/our personal information (including my/our sensitive
       information):
       To organisations involved in providing my/our adviser with marketing services and to their service
       providers (for example posting services), so that my/our adviser may offer me/us products and
       services that might meet my/our financial needs; and
       To other organisations in connection with the sale or proposed sale of all or part of the adviser’s
       business and to the use of that personal information by those organisations for those purposes.
3.     I/We also consent to the collection of my/our personal information for the purpose of my/our adviser
       providing the services stated above. This consent also relates to my/our sensitive information.



                Page 9 of 18        Monet Financial Solutions Discovery Questionnaire – Part B (Sept 2006)
4.       If I/we have provided personal information about an individual (such as a partner, dependant,
         employer or accountant) I/we have or will as soon as practicable, provide the individual with a copy
         of the Privacy Notification Statement (PNS) that was provided to me/us with the Financial Services
         Guide and make them aware that the PNS applies to their personal information that has been
         collected for the purpose of my adviser providing me/us with the financial advice I/we have
         requested.
5.       If I/we have provided sensitive information about someone else, I/we have or will obtain the consent
         of that person to that information being collected by my/our adviser and my/our adviser’s service
         providers.
6.       I/we are aware that a fee for service may be charged for the consultation.

           *** Delete any item or consent in paragraphs 1 to 6 above which you do not agree with ***

Authority to Adviser

I/We authorise                           of Monet Financial Solutions to prepare a Statement of Advice
(incorporating financial plan).


Statement of Advice Preparation Fee

The fee for the preparation of the statement of advice has been set at $                            and I/we authorise
                to proceed on this basis.


Implementation Fee

The implementation fee for proceeding with the recommendations in your statement of advice is estimated to
be $ ________. Should you not proceed with our advice, or insurances be declined, we reserve the right to
charge 50% of this amount regardless, to recoup our costs and for goodwill and intellectual property.


Authority for Current Advisers

I/We authorise __________________ of Monet Financial Solutions to contact my/our existing adviser whose
details I/we have provided.



Client 1 Name:              ___________________________________________________________
Client 1 Signature:          ___________________________________________________________

Dated:                      ___________________________________________________________


Client 2 Name:               ___________________________________________________________

Client 2 Signature:          ___________________________________________________________
Dated:                      ___________________________________________________________


Adviser Name:               ___________________________________________________________

Adviser Signature:          ___________________________________________________________
Dated:                      ___________________________________________________________

                  Page 10 of 18       Monet Financial Solutions Discovery Questionnaire – Part B (Sept 2006)
Information Release Form

To Whom It May Concern,



I/We,    ____________________________________

of       ____________________________________


request that all relevant information on my/our investments, insurances, superannuation, bank
accounts or other financial information be released to              _______ of Apogee
Financial Planning on request.


The planner’s address and contact number are as follows:
              Suite 13, Level 2, 25 Solent Circuit
              Norwest Business Park
              BAULKHAM HILLS NSW 2153
              Phone: (02) 9680 3288
              Fax: (02) 9680 3122
              Email info@monetfs.com.au


Please also accept a fax copy of this authority as the original will be held in my file at the above
address.



Thank you.
Signature:


Name:

                          _____/_____/_____                              _____/_____/_____
                          Date                                           Date

* The planner certifies that this information will be used only for the preparation of financial planning
  services for the aforementioned client.




                Page 11 of 18      Monet Financial Solutions Discovery Questionnaire – Part B (Sept 2006)
                                       ADDITIONAL INFORMATION
Immediate Annuities / Allocated Pensions / Term Allocated Pensions
Name of Investment
Owner
Current Value
Gross Income (p.a)
Deductible Amount (p.a)
Purchase Price
UPP
Start Date
ETP Monies
Term
Index Rate
Residual Capital Value
Reversionary

Superannuation & Rollover Funds
Name of Investment
Owner
Fund Type                            Defined / Accum        Defined / Accum            Defined / Accum               Defined / Accum
Asset Allocation                    Cash ____%                Cash ____%                 Cash ____%                 Cash ____%
                                  Fixed Int ____%           Fixed Int ____%            Fixed Int ____%            Fixed Int ____%
                                  Property ____%            Property ____%             Property ____%             Property ____%
                                 Aus Shares____%           Aus Shares____%            Aus Shares____%            Aus Shares____%
                                  Int Share ____%           Int Share ____%            Int Share ____%            Int Share ____%
Current Balance
 Undeducted Contributions
 Concessional Component

 Post June 1994 Invalidity
 CGT exempt

Employer Contributions
Personal Contributions
Salary Sacrifice
Eligible Service Date
Binding Nominations                     Yes / No                 Yes / No                   Yes / No                    Yes / No
Preservation Status
Death Cover
TPD Cover
Income Protection


NOTES:




                     Page 12 of 18          Monet Financial Solutions Discovery Questionnaire – Part B (Sept 2006)
Eligible Termination Payment

ETP Component                           Client                                        Partner
Post June 1994 Invalidity
Pre July 1983
Post June 1983 (taxed)
Post June 1983 (untaxed)
Undeducted Contributions
Total ETP Value
Tax on ETP if withdrawn




Redundancy
Amount
Tax Free Amount (non-ETP)
Pre July 1983 Comp
Untaxed Post June 1983 Comp
Tax if Withdrawn
Rollover ETP Portion                                    Yes / No                                       Yes / No
Employment Commenced Date
Employment Termination Date




Previously Received Benefits
                                                                                  Client                     Partner
Have you any previously received Eligible Termination                                 Yes      No                Yes   No
Payments?
                   If Yes:    Date Received:                                      Date Received:
                              Amount:                                             Amount:
                              Owner:                                              Owner:
                              Date Received:                                      Date Received:
                              Amount:                                             Amount:
                              Owner:                                              Owner:




Transitional Reasonable Benefit Limit



                                                                                  Client                     Partner
Do you have a Transitional Reasonable Benefit Limit?                                  Yes      No                Yes   No
                                                      If Yes: Lump Sum            $____________              $___________
                                                               Pension            $____________              $___________




                  Page 13 of 18         Monet Financial Solutions Discovery Questionnaire – Part B (Sept 2006)
DETAILS OF YOUR SELF M ANAGED SUPER FUND
Fund Name
Trustee (Company of Individuals)
Establishment Date
Type of Fund                                             ATO SMSF / Small APRA Fund / Non-Complying
Last Investment Strategy Update / Review


SMSF Member Details

Member Name                        Eligible         Current           Regular               Regular           Pension /
                                   Service          Balance          Deductible           Undeducted        Accumulation
                                    Date                            Contributions        Contributions         Phase
1.
2.
3.
4.
5.
6.
Total


SMSF Investment Details

Investment / Product                  Date              Amount           Current Unit       Current Value        Sell /
                                    Invested           Invested           Balance                             Re-allocate
                                                                                                                Yes/No
                                                                                                                Yes/No
                                                                                                                Yes/No
                                                                                                                Yes/No
                                                                                                                Yes/No
                                                                                                                Yes/No
                                                                                                                Yes/No
                                                                                                                Yes/No
                                                                                                                Yes/No



Notes:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________




                Page 14 of 18      Monet Financial Solutions Discovery Questionnaire – Part B (Sept 2006)
DETAILS OF YOUR PRIVATE COMPANY
Company Name
Nature of Business
Establishment date
Shareholders                                                                                                 % Ownership
                                                                                                             % Ownership
                                                                                                             % Ownership
                                                                                                             % Ownership
Directors




Employees




Income Distribution Table

Name                                                      Salary                   Superannuation            Dividends
                                                $                              $                         $
                                                $                              $                         $
                                                $                              $                         $
                                                $                              $                         $
                                                $                              $                         $
                                                $                              $                         $


Private Company Investments

Investment / Product               Date              Amount           Current Unit       Current Value           Sell /
                                 Invested           Invested           Balance                                Re-allocate
                                                                                                                Yes/No
                                                                                                                Yes/No
                                                                                                                Yes/No
                                                                                                                Yes/No


Notes:




                Page 15 of 18   Monet Financial Solutions Discovery Questionnaire – Part B (Sept 2006)
DETAILS OF YOUR TRUST
Name
Nature (Family, Unit, Discretionary)
If Family, has election been made?                              Yes / No
Type                                               Discretionary / Fixed / Hubrid
Is trust being used for business?                               Yes / No
Establishment Date
Trustee(s)




Beneficiaries and their ages                                                                                          Years old
                                                                                                                      Years old
                                                                                                                      Years old
                                                                                                                      Years old


Income Distribution Table

Name                                                             Salary                   Superannuation            Dividends
                                                       $                              $                         $
                                                       $                              $                         $
                                                       $                              $                         $
                                                       $                              $                         $
                                                       $                              $                         $
                                                       $                              $                         $


Trust Investments

Investment / Product                      Date              Amount           Current Unit       Current Value           Sell /
                                        Invested           Invested           Balance                                Re-allocate
                                                                                                                       Yes/No
                                                                                                                       Yes/No
                                                                                                                       Yes/No
                                                                                                                       Yes/No




Notes:




                 Page 16 of 18         Monet Financial Solutions Discovery Questionnaire – Part B (Sept 2006)
Insurance Cover Calculator

                                                                      Client                                   Partner
Total Liabilities                                     $                                        $
Capital Required to generate annual income            $                                        $
Living expenses needed to wind up estate              $                                        $
Funeral / Legal costs                                 $                                        $
TOTAL                                                 $                                        $


Capital Available                                     $                                        $
Cover Recommended                                     $                                        $


Income Protection Calculator

75% of current income (A)                             $                                        $
Total Gross income Required (B)                       $                                        $


Cover Required (lesser of A and B)                    $                                        $


Notes:




Business (for self-employed or business partners)

                                                                      Client                                   Partner
Are you responsible for the operating costs of
your business?                                                      Yes / No                                   Yes / No
If yes, please indicate percentage and attach
P&L or latest tax returns etc.
If you have a business partner, what would you
do if you or your business partner were unable to
work in the event of your premature death or
injury / sickness?
Do you have business expense insurance?                             Yes / No                                   Yes / No
Do you have Income protection to provide
replacement earnings should you be unable to                        Yes / No                                   Yes / No
work due to sickness or injury?
Do you have a buy / sell agreement in place?                        Yes / No                                   Yes / No




                    Page 17 of 18     Monet Financial Solutions Discovery Questionnaire – Part B (Sept 2006)
Plan Request
Next Appointment:                                      Appointment to be booked                Yes / No
Scope of Advice:            Limited / Full
         Scope:




Fee Structure               Adviser Service Fee                  1.1% / Other Amount _____%
                            SOA Preparation Fee                  $_____
                            Implementation Fee                   $_____
                            Upfront Commissions                  _____%
                            Ongoing Commission                   Rebate All / Rebate _____%
Investment Recommendations:




                                                                           ___________________________

Risk Recommendations:
(Assumed Hybrid Commission unless otherwise states)




Specific Assumptions:




                                                                                                         _____________


Other Info:




                                                                                                         _______________




                    Page 18 of 18          Monet Financial Solutions Discovery Questionnaire – Part B (Sept 2006)

				
DOCUMENT INFO
Shared By:
Categories:
Stats:
views:170
posted:4/25/2010
language:English
pages:18
Description: Discovery Questionnaire