Client Profile Prepared for JOHN and MARY SMITH * Last Revised August 10, 2012

Personal History

Who is Important to You?

Children and Grandchildren

John's Family

Mary's Family

Pets

How Do You Like to Be Contacted?

Current Advisors

Financial Advisor

CPA (Personal)

Private Attorney (Estate Planning)

Personal Use Assets

Debts

Investment Assets

Sources of Income

ADVISOR'S "TO DO" LISTS

MEETING AGENDAS and MINUTES

Contact Info

Value of Money

John: "Freedom," Ability to "Do Things"

Mary: "Security," "Feeling Safe," "Not Having to Worry," "Able to Provide for Family" (Daughter, Grandchildren)

Lifetime Goals

Travel Already Undertaken

Other Goals Achieved

Goals to Achieve in Future

Family & Friends

Travel

Altruistic Goals

Education / Enlightenment

Interests, Hobbies, Activities

Personal Budget

Home, Auto, Liability Insurance

DI and/or LTCI

Life Insurance

Health Insurance, Medicare

CLIENT'S "TO DO" LISTS