Your Information
Client Name: Spouse:
DOB (mm/dd/ccyy:) DOB (mm/dd/ccyy:)
State Of Residence: Assets Available for Investments:
Availability of Assests:
Financial Planning Client? Yes No
Asset Management Client? Yes No
Significant Other Assets (Large Stock Holding, Large Municipal Bond Holdings, etc):
Contingencies (distributions monthly/annually, new residence, etc):
Risk Tolerance (1 less - 10 more)
Recommended Allocation In Equity Related Investments: %
Percentage in Fixed Income Investments: %
Percentage Investments In Individual Stocks: %
* (It is our intention not to use individual equities for portfolios with less than $500,000)
What Does Client Consider An Acceptable Rate of Return: %
Miscellaneous Note:
Name Of Planner/Manager: