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					                                                                                                                   Sample Financial Plan Worksheet
                                                                                                                                                                                           Notes:
                                                     Monthly Household Net Income: $2,200                                       Number of Dependents: 0
information
  General




                                                     Monthly Non-discretionary Expenses: $1,700                                 Your Age: 22

                                                     Amount Remaining to Save for Goals: $500                                   Expected Graduation Date: Just graduated


                                                                                                                Goal # 1               Goal # 2                        Goal # 3                   Goal # 4
Identify goals, cost, time horizon, savings method




                                                                                                                                  3-month emergency             Pay off student loans        Start a retirement
                                                                              Write Goals Here 
                                                                                                            Car down payment                fund                       in 5 years                      account
           and anticipated rate of return.




                                                     Total cost of each goal                                     $1,750                    $4,500                           $2,500                     $100,000

                                                     Current funds available                                       $0                          $150                          $100                        $700

                                                     Time needed to achieve each goal                           2 months                 29 months                          5 years                    30 years

                                                                                                                                                                                               $200 from paycheck
                                                     Monthly contribution to achieve goal                          $0                          $150                          $43
                                                                                                                                                                                               $80 employer match
                                                     Funding source for monthly contribution                   Tax refund                 Pay check                        Pay check        Paycheck & employer match

                                                                                                                                                                                                    Work retirement
                                                     Method for saving/investing for goal                    Checking account          Savings account                 Paying on loan
                                                                                                                                                                                               account/Mutual funds
                                                     Expected interest rate/rate of return                         0%                          2%                  Paying 8.25% interest                  9%
                                                     Write risks to achieving plan here 
                                                                                                                                    Disability, expensive
                                                                                                                 No risks                                                  Job loss         Job loss, health, disability
                                                     Identify insurance to protect against financial
Identify risks and insurance that can




                                                     loss from risk(s) by marking appropriate                                            emergency
    protect against financial loss.




                                                     box(es).

                                                     Life

                                                     Health                                  Paid by work                                                                                                 X
                                                                              Monthly Cost




                                                     Disability                                  $35                                                                                                      X

                                                     Automobile                                 $150                                            X

                                                     Home/Renters                                $20                                            X


                                                     Other___________                                                                                                      Deferment
                                                                                                                        Sample Financial Plan Worksheet
                                                                                                                                                                                                        Notes:
                                                     Monthly Household Net Income: $4,475                                                  Number of Dependents: 3
information
  General




                                                     Monthly Non-discretionary Expenses: $3,200                                            Your Age: 37

                                                     Amount Remaining to Save for Goals: $1,275                                            Expected Graduation Date: MBA graduation date in 1 year


                                                                                                                     Goal # 1                     Goal # 2                         Goal # 3                     Goal # 4
Identify goals, cost, time horizon, savings method




                                                                                                                                             6-month emergency              Pay off student loans         Build up retirement
                                                                              Write Goals Here 
                                                                                                            Save for kids' college                     fund                        in 5 years                       account
                                                                                                                    education
           and anticipated rate of return.




                                                     Total cost of each goal                                         $75,000                          $19,200                        $17,500                        $850,000

                                                     Current funds available                                         $24,267                          $9,000                            $0                          $78,900

                                                     Time needed to achieve each goal                                 7 years                        18 months                        5 years                       20 years

                                                                                                                                                                                                            $400 from paycheck
                                                     Monthly contribution to achieve goal                              $150                            $500                            $225
                                                                                                                                                                                                            $160 employer match
                                                                                                              Pay check, gifts from                                          Pay check, future salary
                                                     Funding source for monthly contribution                                                  Pay check, tax refunds                                     Paycheck & employer match
                                                                                                              parents/grand parents                                                  increases
                                                                                                                                                                                                                 Work retirement
                                                     Method for saving/investing for goal                    529 College Savings Plan         Money market account                Paying on loan
                                                                                                                                                                                                            account/Mutual funds
                                                     Expected interest rate/rate of return                              7%                                2%                  Paying 8.25% interest                    9%
                                                     Write risks to achieving plan here 
                                                                                                            Job loss, death, disability,       Disability, expensive
                                                                                                                                                                                     Job loss            Job loss, health, disability
                                                     Identify insurance to protect against financial
Identify risks and insurance that can




                                                     loss from risk(s) by marking appropriate                   expensive accident.                 emergency
    protect against financial loss.




                                                     box(es).

                                                     Life                                        $40                     X

                                                     Health                                  Paid by work                X                                                                                             X
                                                                              Monthly Cost




                                                     Disability                                  $45                     X                                                                                             X

                                                     Automobile                                  $95                     X                                X

                                                     Home/Renters                                $35                     X                                X


                                                     Other___________                                                                                                               Deferment
                                                                                                              Financial Plan Worksheet
                                                                                                                                                            Notes:
                                                     Monthly Household Net Income:                                   Number of Dependents:
information
  General




                                                     Monthly Non-discretionary Expenses:                             Your Age:

                                                     Amount Remaining to Save for Goals:                             Expected Graduation Date:


                                                                                                       Goal # 1                  Goal # 2        Goal # 3            Goal # 4
Identify goals, cost, time horizon, savings method




                                                                              Write Goals Here 
           and anticipated rate of return.




                                                     Total cost of each goal


                                                     Current funds available


                                                     Time needed to achieve each goal


                                                     Monthly contribution to achieve goal


                                                     Funding source for monthly contribution


                                                     Method for saving/investing for goal


                                                     Expected interest rate/rate of return

                                                     Write risks to achieving plan here 
                                                     Identify insurance to protect against financial
Identify risks and insurance that can




                                                     loss from risk(s) by marking appropriate
    protect against financial loss.




                                                     box(es).

                                                     Life

                                                     Health
                                                                              Monthly Cost




                                                     Disability

                                                     Automobile

                                                     Home/Renters

                                                     Other___________