Your Job and Income Expenditure
Employment status S/E, E/E, Owner-Director S/E, E/E, Owner-Director
Existing Financial Provision
Life Assurance cover
Serious illness / Income insurance
Savings & Investments
Pensions Provisions
Mortgage & Loan details
Life Assurance cover
Serious illness / Income insurance
Savings & Investments
Pensions Provisions
Mortgage & Loan details
Investment Risk: Preference & Capacity
Experience: Outline your experience of investment products
Attitude to Risk* Outline your attitude to potential risk of loss of investment
Importance of capital security*
IMPORTANT NOTES
No Risk indicates a security of capital with the likelihood of a small gain.
Low Risk indicates a security of capital with potential for modest growth.
Medium Risk indicates a possible loss of some capital in return for good potential growth in the medium term.
High Risk indicates potential significant loss of capital in return for potential high growth.
Outline your investment objectives – include term & consequences if not met:
What is the likelihood of you requiring access to the fund before the end of the term?
Have you an emergency fund in place (3-6 months income)? Please give details
Do you anticipate any changes to your income/expenses/asset/liabilities? Eg. Expected inheritance
How secure is your current income? In the event of a change to your financial circumstances, can you adjust your current lifestyle expenses?
Financial Needs & Objectives
Mortgage & Loan protection
Agreed Financial Priorities for Immediate Action
1
2
3
4
Advice on Mortgage Protection Only
Other areas (note if relevant)
Business protection insurance
It is recommended that an annual review take place to ensure that all of your needs are monitored for changing circumstances. When would suit you for a future review?
Clients signatures
Financial Brokers signature
