CLARK V. CRAIG - PERSONAL FINANCIAL PLANNING FORM
PERSONAL INFORMATION

Client Information
S.I.N.

Marital Status
First Name and Initial Married Divorced
Last Name Common Law Separated
Occupation Widowed Single
Name of Employer
Birthdate

Home Address
Gender

Male          Female

 Street and Unit:
City:
Spouse Information Postal Code:
Home Number:
S.I.N. Work Number:
First Name and Initial Fax:
Last Name E-mail:
Occupation
Name of Employer
Birthdate
Gender

Male          Female
Dependent Information
Name S.I.N. Birthdate (mm,dd,yyyy) Relationship         Disability        (if any)

 

 Age to begin post-secondary education
           
           
           
           

Are any of these dependents children from a previous marriage?   Yes             No

If yes, please indicate which children, with whom they are currently living and the amount/frequency of child support (if any):

                                                                                                                                                                                        

                                                                                                                                                                                        

 

PROFESSIONAL CONTACTS
Lawyer Stock Broker
Firm Firm
Name Name
Address Address
City City
Province & Postal Code Province & Postal Code
Phone Phone
Fax Fax
E-mail E-mail
Primary Banking Information Insurance Broker
Bank Firm
Contact Name
Address Address
City City
Province & Postal Code Province & Postal Code
Phone Number Phone
Fax Fax
E-mail E-mail
Account Type
Account Number
Secondary Banking Information Accountant
Bank Firm
Contact Name
Address Address
City City
Province & Postal Code Province & Postal Code
Phone Number Phone
Fax Fax
E-mail E-mail
Account Type
Account Number

 

 

 

FINANCIAL GOALS AND OBJECTIVES
Financial Objectives
Importance Rank
Description Very Unimportant Unimportant Important Very Important Extremely Important

Rank (1 being highest priority)
Save for retirement
Establish a regular savings plan
Maximize RRSP's
Reduce income tax
Emergency funds
Dependent's post-secondary education
Reduce/Eliminate consumer debt
Save for house down-payment
Pay down mortgage
Save for renovations
Travel/Vacation
Manage retirement income/pensions
Preserve estate for heirs
Care for dependent's with special needs
Investment Objectives
Importance Rank
Description Very Unimportant Unimportant Important Very Important Extremely Important

Rank (1 being highest priority)
Safety of Principal
Liquidity
Need for income
Capital growth

 

 

 

 

 

Investment knowledge/level of service required (please select one):

 

I don’t have any (or have very few) investments right now.  I need help with the planning, implementation and management of my investment portfolio.
  I don’t have the time, inclination or knowledge to manage my investments.  I need help with the planning, implementation and management of my investment portfolio.
  I don’t have the time or knowledge to manage my investments. I am interested in learning more.  I need help with the planning, implementation and management of my investment portfolio.
  I don’t have the inclination or knowledge to manage my investments. I would like you to explain financial planning concepts in detail. I need help with the planning, implementation and management of my investment portfolio.
  I don’t have the time to manage my investments.  I am comfortable discussing relatively complex financial planning concepts.  I need help with the planning, implementation and management of my investment portfolio.
  I am able to acquire suitable investment products myself. I am comfortable discussing relatively complex financial planning concepts. I need help with the planning of my investment portfolio.
  I spend a considerable amount of time looking at my investment portfolio. I am comfortable discussing relatively complex financial planning concepts. Therefore, I need help only with the implementation of my investment portfolio.
ASSUMPTIONS
At what age do you wish to retire?
Please review our assumptions and make any changes in the spaces provided
Our Assumption Your Assumption

C.P.I. (The current Consumer Price Index rate is used to index government related items such CPP benefits and tax brackets)
Inflation (The historical inflation rate is used to index personal items such as lifestyle expenditures and earnings)
Post secondary tuition cost index (The tuition rate is used to index the cost of post secondary education)
Real estate index (The real estate rate is used to simulate the equity growth on properties such as the house)
Before tax equity investment return (We will use either this general equity investment return or specific historical data for asset growth)
Before tax interest investment return (For interest bearing investments we will use either this general interest rate return or specific historical data)
Long term Government of Canada bond rate (This is used for maximum allowable withdrawal calculations of LIF's and LRIF's)

Due to the aging of Canada’s population, there is a concern that government benefits will not be available for future retirement in the state they exist today. If you do not wish to consider these benefits, you will need to rely more on  your personal savings to provide income during retirement. Please indicate your personal preference on this matter.

Do you wish to include CPP income during retirement?    Yes        No

Do you wish to include OAS income during retirement     Yes        No

 

INCOME
Employment income and deductions at source

#1

#2

#3

#4
Employment Income For

 

        
Pay Period Weekly                 Bi-Weekly             Semi-monthly Quarterly       Annual   Weekly                 Bi-Weekly             Semi-monthly Quarterly             Annual   Weekly                 Bi-Weekly             Semi-monthly Quarterly          Annual   Weekly                 Bi-Weekly             Semi-monthly Quarterly         Annual  
Name of Employer        
Gross income        
C.P.P.        
E.I.        
Tax        
Union/Professional Dues        
RRSP Contributions        
R.P. Plan contributions        
Public Health care        
Private Health care        
Other deductions at source        

OTHER INCOME

Commissions                                                    Do not include commissions already included above 

   
Bonuses    
Rental Income                                                                    Indicate if income is split between spouses    
C.P.P.    
O.A.S.    
Other Pension Income    
RRSP/RRIF                                                                        Indicate frequency and amount    
Other Income    

 

 

LIFESTYLE EXPENDITURES
Indicate current monthly expenses, expected expenses at retirement and expenses to be used for insurance purposes.  Enter totals at the top if you do not wish to complete in detail

Current Expenses

Retirement Expenses

Insurance Replacement
Housing
Taxes
Insurance
Utilities (water, gas, electric)
Maintenance
Other
Household and living
Telephone
Personal care
Clothing
Medical/dental
Child care
Education
Other
Insurance
Disability
Public Health Care
Private Health Care
Other
Investment Expense
Business Loan
RRSP Loan
Investment Loan
Other
Recreation
Cable/video rental/internet
Recreation/sports
Discretionary: Gifts
Charitable donations
Dining Out
Tobacco and Alcohol
Entertainment
Miscellaneous: Personal Loan
Credit cards
Professional/Union dues
Other

 

INVESTMENT INFORMATION  
When describing your investments, indicate the tax status and asset group for each.  Use the following codes.  If you do not wish to list individual investments in any group, provide a summary in the first line.
Tax Status Codes  
NRC Client's Non RRSP
NRS Spouse's Non RRSP
RC Client's RRSP
RS Spouse's RRSP
SRS Contribution by client to spouse's RRSP
Asset Group Codes  
Cash or equivalent 100% interest
Fixed Mostly interest with some capital gain e.g bonds.
Growth Equity investments in small companies.  Income is mostly capital gains.
Value Equity investmentin large cap firms.  Income is some capital gain and some income.
Global Equity or fixed investments outside of Canada. 
Specialty High risk such as gold or resources.
Balanced Balance of capital gain dividend and interest.
 

Please indicate current RRSP contribution amount and frequency  $                      Monthly       $                       Annually

Mutual Funds
Name of Fund Tax Status Code Asset Group Code # of Units Net Investment   (ACB) Market Value Annual Return %
             
             
             
             
             
Stocks
Name of Stock Tax Status Code Asset Group Code # of Units Net Investment   (ACB) Market Value Annual Return % Annual Dividend Rate
               
               
               
               
               

 

Bonds
Description Tax Status Code Purchase Price Face Value Market Value Purchase Date  (mmddyyyy) Maturity Date (mmddyyyy) Coupon
               
               
               
Term Deposits / GIC's
Description Tax Status Code Purchase Price Purchase Date (mmddyyyy) Maturity Date (mmddyyyy) Annual Interest Rate
           
           
           
Treasury Bills
Description Tax Status Code Purchase Price Face Value Maturity Date (mmddyyyy) Annual Interest Rate
           
           
           
Canada Savings Bonds
Series Type (Compound or Regular) Tax Status Code Face Value
       
       
       
Specialty Investments
Description Tax Status Code Net Investment Market Value Annual Rate of Return
         
         
         
Stock Options
Description Asset Group Code Tax Status Code # of Shares Exercise Price Per Share Market Value
           
           
           

 

 

 

REAL ESTATE INFORMATION
  Property #1 Property #2 Property #3
Type of property (residence, vacation, rental)      
Address                                   City and Postal code                                        
Date purchased      
Purchase Price      
Taxes      
Insurance      
Current market value      

 

DEBT INFORMATION
Loan Information Loan #1 Loan #2 Loan #3
Description
Borrower
Use of Funds
Amount of Loan
Date of First Payment
Term of Loan
Interest Rate
Comound Period
Payment
Frequency of Payment
Credit Cards and Short Term
Description
Balance Owing
Annual Interest Rate
Monthly Payment
Mortgage Information
Amount
First Payment
Term
Amortization Period
Interest Rate
Compound Period
Payment
Payment Frequency
Mortgage Insurance

 

PERSONAL ASSETS
Description Type Ownership % (client & spouse) Purchase Price Market Value
           
           
           
           
           

 

BANK ACCOUNTS
Bank Ownership% (client & spouse Amount Interest Rate
         
         
         
         

 

RISK MANAGEMENT
Wills    
Do you have a will?    
When did you last review your will?    
Who is the executor and what is the relationship    
Where are the copies located    
Have you chosen a guardian    
If Yes - name of guardian    
Comments

 

 

LIFE INSURANCE
Type            Term          Whole Life Group Company and Number Policy holder Insured Beneficiary Premium and Frequency Amount
             
             
             

 

PENSION INFORMATION
Deferred Profit Sharing Plan
Plan Member Current Value Employer contribution

Employee contributions                                                           % of earnings           Salary                       Amount  

           
           
           

 

Defined Contribution R.P.P.
Plan Member Current Value Current Salary Contribution Rates                       Employer                  Employee
         
         
         

 

Defined Benefit R.P.P.
Pension Plan #1 Pension Plan #2
Plan Member
Age at which payments start
Start date of service
Years until end of employment
Current commuted value
Type of Plan                     Career Avg. - Avg earnings         Best/Final - # of Yrs averaged Flat Benefit - $/Yr of service   Flat Benefit - $Fixed Benefit          Type of Plan                     Career Avg. - Avg earnings      Best/Final - # of Yrs averaged Flat Benefit - $/Yr of service   Flat Benefit - $Fixed Benefit
Pensionable Earnings Pensionable Earnings
Current Salary Current Salary
Index Earnings Yes       No Index Earnings Yes      No
Pension benefits Pension benefits
Benefit Rate per year of service Benefit Rate per year of service
   Earnings below YMPE          % Earnings below YMPE                %
    Earnings above YMPE          % Earnings above YMPE                %
Cap on final benefits          % Cap on final benefits                 %
Indexing through retirment Yes         No Indexing through retirement Yes         No
Integration with CPP Yes         No Integration with CPP Yes         No
Reduction for early retirement % per month Reduction for early retirement
Survivor benefits            % Survivor benefits                  %