Financial Planning Questionnaire
Client:
Consultant:
Date:
STRICTLY PRIVATE AND CONFIDENTIAL
Data Protection Act 1984
The information given in this document will be retained on computer for reference purposes and will be held in accordance with the Data Protection
Act 1984. Beacon Global Wealth Management may use information for marketing and statistical purposes.Details may also be passed to the
relevant regulatory authorities and auditors for the purpose of compliance.
The financial advisers trading under Beacon Global Wealth Management are members of Nexus Global (IFA Network). Nexus Global is a division of
Blacktower Financial Management (International) Limited (BFMI). All approved individual members of Nexus Global are Appointed Representatives
of BFMI. BFMI is licenced and regulated by the Gibraltar Financial Services Commission (FSC) and bound by the rules under licence number
FSC00805B
PERSONAL DETAILS
YOU
YOUR SPOUSE
YES / NO
YES / NO
TITLE
SURNAME
FIRST NAME(S)
ADDRESS
POSTCODE
TEL:-
(HOME)
(WORK)
(MOBILE)
EMAIL ADRESS
PLACE & DATE OF BIRTH
RESIDENCE
DOMICILE
IF NON-UK RESIDENT
HOW LONG HAVE YOU
LIVED OUTSIDE OF UK
MARITAL STATUS
STATE OF HEALTH
HEALTH CHANGES
CHANGES TO HEALTH
SMOKER
FAMILY DETAILS
NAME
DATE
OF
BIRTH
RELATIONSHIP
OCCUPATION
DEPENDENT
Y/N
Y/N
Y/N
Y/N
Y/N
NOTES
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___
The financial advisers trading under Beacon Global Wealth Management are members of Nexus Global (IFA Network). Nexus Global is a division of
Blacktower Financial Management (International) Limited (BFMI). All approved individual members of Nexus Global are Appointed Representatives
of BFMI. BFMI is licenced and regulated by the Gibraltar Financial Services Commission (FSC) and bound by the rules under licence number
FSC00805B
2
EMPLOYMENT DETAILS
SELF
SPOUSE
EMPLOYED / SELF EMP./ RETIRED
EMPLOYED / SELF EMP./ RETIRED
OCCUPATION
STATUS
EMPLOYERS NAME
ADDRESS
POSITION
LENGTH OF SERVICE
REMUNERATION
GROSS INCOME
BONUS / OVERTIME
COMMISSION
BENEFITS IN KIND
BENEFITS
The financial advisers trading under Beacon Global Wealth Management are members of Nexus Global (IFA Network). Nexus Global is a division of
Blacktower Financial Management (International) Limited (BFMI). All approved individual members of Nexus Global are Appointed Representatives
of BFMI. BFMI is licenced and regulated by the Gibraltar Financial Services Commission (FSC) and bound by the rules under licence number
FSC00805B
3
INCOME / EXPENDITURE.
£ P.M
SELF
SPOUSE
MONTHLY INCOME
1
Employment -Employed
-Self Employed
-Other
£
£
£
£
£
£
2
Pension -State
-Occupational
-Personal
£
£
£
£
£
£
3
Investment -Interest
-Dividend
-Rent
£
£
£
£
£
£
4
Trust
£
£
5
Investment Bond
£
£
6
Other
£
£
Total monthly income
£
£
MONTHLY EXPENSES
1
Mortgage / Loans
£
£
2
Pensions / Insurances
£
£
3
Utilities
£
£
4
Tax
£
£
5
Living Expenses
£
£
6
Regular capital expenditure
£
£
7
Car / Travel
£
£
8
Other
£
£
Total Monthly Expenses
£
£
Client's Perceived Net Surplus / Deficit
£
£
The financial advisers trading under Beacon Global Wealth Management are members of Nexus Global (IFA Network). Nexus Global is a division of
Blacktower Financial Management (International) Limited (BFMI). All approved individual members of Nexus Global are Appointed Representatives
of BFMI. BFMI is licenced and regulated by the Gibraltar Financial Services Commission (FSC) and bound by the rules under licence number
FSC00805B
4
ASSETS
SELF
PRINCIPAL RESIDENCE
CONTENTS
SPOUSE
£
£
£
£
£
£
£
£
HOW IS IT OWNED
OTHER PROPERTY
ANTIQUES / VALUABLES
INVESTED ASSETS (value & holding)
BANK
BUILDING SOCIETY
TESSA
NATIONAL SAVINGS
GILTS
STOCKS & SHARES
PERSONAL EQUITY PLANS
UNIT / INVESTMENT TRUSTS
INVESTMENT BONDS
INTERESTS IN TRUST
BES / EIS /PETS / VCT
OTHER
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
LIABILITIES
MORTGAGE
REPAYMENT METHOD
LENDER
START DATE
REDEMPTION DATE
JOINT BASIS
YES / NO
YES / NO
OTHER LOANS
BANK OVERDRAFT
OTHER LOAN
£
£
£
£
The financial advisers trading under Beacon Global Wealth Management are members of Nexus Global (IFA Network). Nexus Global is a division of
Blacktower Financial Management (International) Limited (BFMI). All approved individual members of Nexus Global are Appointed Representatives
of BFMI. BFMI is licenced and regulated by the Gibraltar Financial Services Commission (FSC) and bound by the rules under licence number
FSC00805B
5
PENSION DETAILS
OCCUPATIONAL PENSION SCHEME ( NB. obtain scheme and AVC booklets )
ARE YOU A MEMBER ?
ARE YOU ELIGABLE TO JOIN ?
DATE JOINED
SELF
SPOUSE
YES / NO
YES / NO
YES / NO
YES / NO
NORMAL RETIREMENT DATE
EXPECTED RETIREMENT DATE
PENSION BENEFITS (60th/80th/money
purchase)
DEPENDENTS BENEFITS
CONTRACTED IN / OUT
CONTRIBUTION LEVEL (employee)
(employer)
ANY IMMINENT CHANGES
CURRENT / TRANSFER VALUE
£
£
£
£
AVC (money purch./ final salary)
CURRENT CONTRIBUTION
INVESTMENT LINK / PROVIDER
CURRENT / TRANSFER VALUE
The financial advisers trading under Beacon Global Wealth Management are members of Nexus Global (IFA Network). Nexus Global is a division of
Blacktower Financial Management (International) Limited (BFMI). All approved individual members of Nexus Global are Appointed Representatives
of BFMI. BFMI is licenced and regulated by the Gibraltar Financial Services Commission (FSC) and bound by the rules under licence number
FSC00805B
6
PERSONAL PENSIONS / FSAVCs
SELF
SPOUSE
TYPE
START DATE
COMPANY & FUND
AMOUNT / FREQUENCY
CURRENT VALUE
TRANSFER VALUE
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
£
NORMAL RETIREMENT DATE
WAIVER OF PREMIUM
LIFE ASSURANCE
TYPE
START DATE
COMPANY & FUND
AMOUNT / FREQUENCY
CURRENT VALUE
TRANSFER VALUE
NORMAL RETIREMENT DATE
WAIVER OF PREMIUM
LIFE ASSURANCE
TYPE
START DATE
COMPANY & FUND
AMOUNT / FREQUENCY
CURRENT VALUE
TRANSFER VALUE
NORMAL RETIREMENT DATE
WAIVER OF PREMIUM
LIFE ASSURANCE
TYPE
START DATE
COMPANY & FUND
AMOUNT / FREQUENCY
CURRENT VALUE
TRANSFER VALUE
NORMAL RETIREMENT DATE
WAIVER OF PREMIUM
LIFE ASSURANCE
The financial advisers trading under Beacon Global Wealth Management are members of Nexus Global (IFA Network). Nexus Global is a division of
Blacktower Financial Management (International) Limited (BFMI). All approved individual members of Nexus Global are Appointed Representatives
of BFMI. BFMI is licenced and regulated by the Gibraltar Financial Services Commission (FSC) and bound by the rules under licence number
FSC00805B
7
TAX POSTION
SELF
TOP RATE OF TAX
SPOUSE
%
%
OUTSTANDING LIABILITIES:
INCOME TAX
CGT
OTHER
HAVE YOU MADE A WILL
YES / NO
YES / NO
BENEFICIARIES
INHERITANCE TAX PROVISIONS
TRUSTS
GIFTS
NOTES
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
______________________________________________________________
PLANS / OBJECTIVES
EXISTING ARRANGEMENTS
What are your views on the following existing arrangements ?
INVESTMENTS
MORTGAGE
LIFE ASSURANCES
HEALTH INSURANCE
SAVINGS
PENSIONS
WILL / ESTATE
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
The financial advisers trading under Beacon Global Wealth Management are members of Nexus Global (IFA Network). Nexus Global is a division of
Blacktower Financial Management (International) Limited (BFMI). All approved individual members of Nexus Global are Appointed Representatives
of BFMI. BFMI is licenced and regulated by the Gibraltar Financial Services Commission (FSC) and bound by the rules under licence number
FSC00805B
8
FUTURE PLANS
Do you foresee any changes in the near future ?
( Marital Status / Residence / Occupation / Earnings / Inheritance / Liabilities / Monthly Income or Expenditure )
_______________________________________________________________________________________________ ___
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________
What are your plans and ambitions over the long term ?
( Family / Children's Education / House / Career, Occupation / Financial Arrangements / Retirement / Your Estate )
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
______________________________________________________________
AREAS OF INTEREST
Please indicate any relevant areas of interest and order of priority (Any areas not relevant can be left blank).
INCREASE INCOME
INCREASE CAPITAL
EXTRA PROTECTION
REDUCE TAXATION
SAVE FROM INCOME
GENERAL REVIEW
PROVIDE FOR RETIREMENT
PROVIDE FOR SCHOOL FEES
FINANCE PROPERTY
MITIGATE INHERITANCE TAX
NOTES
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
______________________________________________________________
The financial advisers trading under Beacon Global Wealth Management are members of Nexus Global (IFA Network). Nexus Global is a division of
Blacktower Financial Management (International) Limited (BFMI). All approved individual members of Nexus Global are Appointed Representatives
of BFMI. BFMI is licenced and regulated by the Gibraltar Financial Services Commission (FSC) and bound by the rules under licence number
FSC00805B
9
ATTITUDE TO RISK
See risk profiler.
The financial advisers trading under Beacon Global Wealth Management are members of Nexus Global (IFA Network). Nexus Global is a division of
Blacktower Financial Management (International) Limited (BFMI). All approved individual members of Nexus Global are Appointed Representatives
of BFMI. BFMI is licenced and regulated by the Gibraltar Financial Services Commission (FSC) and bound by the rules under licence number
FSC00805B
10
CLIENT DECLARATION
Please sign and date the statement that best applies:
I have answered ALL of the questions to the best of my knowledge and may either accept or
reject any advice given.
Signed Client 1:
Signed Client 2
Date:
I have NOT answered all of the questions fully and understand that this might affect the level of the advice given.
Signed Client 1:
Signed Client 2
Date:
I have answered the above to the best of my knowledge but wish to proceed contrary to the advice offered.
Signed Client 1:
Signed Client 2
Date:
I have NOT answered the questions since I DO NOT REQUIRE ANY ADVICE.
I wish to transact business on an “EXECUTION ONLY” basis where I make my own
decisions without any advice. I am already fully informed on the particular product and
provider that I intend to use. I have provided proof of identification and residence.
Signed Client 1:
Signed Client 2
Date:
The financial advisers trading under Beacon Global Wealth Management are members of Nexus Global (IFA Network). Nexus Global is a division of
Blacktower Financial Management (International) Limited (BFMI). All approved individual members of Nexus Global are Appointed Representatives
of BFMI. BFMI is licenced and regulated by the Gibraltar Financial Services Commission (FSC) and bound by the rules under licence number
FSC00805B
11
Beacon Global WM | France
18/20 Avenue Robert Schuman
BP 19240
13567 Marseille
Cedex 02
France
Beacon Global WM | Central Admin Office
250 High Street
Guildford
Surrey
GU1 3JG
UK
T+
F+
T +44 1483 561505
F +44 1483 561005
Data Protection Act 1984
The information given in this document will be retained on computer for reference purposes and will be held in accordance with the Data Protection
Act 1984. Beacon Global Wealth Management may use information for marketing and statistical purposes.Details may also be passed to the
relevant regulatory authorities and auditors for the purpose of compliance.
The financial advisers trading under Beacon Global Wealth Management are members of Nexus Global (IFA Network). Nexus Global is a division of
Blacktower Financial Management (International) Limited (BFMI). All approved individual members of Nexus Global are Appointed Representatives
of BFMI. BFMI is licenced and regulated by the Gibraltar Financial Services Commission (FSC) and bound by the rules under licence number
FSC00805B