Life Goals & Transitions Plan
Date: ___/___/_____
Client 1 (C1): _________________________
Client 2 (C2): _________________________
This document will allow us to gather information necessary for us to create the first draft of your initial financial plan.
We will use the answers you provide here, along with the information from our discussions and other questionnaires
you have completed to build a plan for you that will help us to answer questions such as how much money you will
need to save to fund your retirement, what your yearly withdrawals may be, when is the best time to make major
purchases or gifts, etc.
Please answer the questions to the best of your knowledge, keeping in mind that we will have the opportunity to
revise and refine the information together over time. If there is a question or section that seems irrelevant or that
you do not understand, then please leave it blank and we can address it together in a future meeting.
RETIREMENT PLAN ASSETS
Please note the approximate current value of your retirement assets (e.g., 401k, IRA, etc.) and the approximate
amount of your yearly contributions in the table below. You may disregard this for any accounts that Hamilton
Partners currently manages.
Client 1
Description
Client 2
Yearly
Additions
Value
Yearly
Additions
Value
Total Employer Retirement Plan (e.g., 401k, 403b)
$
$
$
$
Total Traditional IRA
$
$
$
$
Total Roth IRA
$
$
$
$
Total Defined Benefit Plan
$
$
$
$
OTHER FINANCIAL ASSETS
List the total current value of your taxable accounts and the approximate amount of your yearly contributions in the
table below. You may disregard this for any accounts that Hamilton Partners currently manages.
Owner
Description
Current Value
Yearly Additions
C1
C2





e.g., Bank of Oklahoma – Personal Checking





$15,000
$1,000
$
$
$
$
$
$
$
$
OTHER ASSETS
Other Assets consist of any non-investment assets you own (personal property, business, real estate) and assets you
expect to receive in the future (e.g. inheritance or gift). Be sure to include any assets that will be used, at some
future date, to fund your Goals and all assets that you would want included in a net worth statement.
Owner
Planning to sell
Description
Current Value
this asset?
C1
C2
e.g., Primary Residence


$200,000
1.


$
2.


$
3.


$
4.


$
5.


$
6.


$
Life Goals & Plans 2015
1
Yes
Only
Yes
Only
Yes
Only
Yes
Only
Yes
Only
Yes
Only
Yes
Only
No
If Needed
No
If Needed
No
If Needed
No
If Needed
No
If Needed
No
If Needed
No
If Needed
©2015 Hamilton Financial Partners
Life Goals & Transitions Plan
Date: ___/___/_____
Client 1 (C1): _________________________
Client 2 (C2): _________________________
LIABILITIES
Please note your current liabilities in the table below, including your home mortgage 1, vehicle loans, business loans,
and other personal debt.
Initial
Date Loan
Current
Monthly
Interest
Owner
Description
Term
Amount
Began
Balance
Payment
Rate
C1 C2
e.g., Home Mortgage








$125,000








5/2014
15 Years
$90,000
$779
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
5.00%
1. Mortgage payments typically include escrow and in some cases Private Mortgage Insurance (PMI). Please include only the monthly
principal and interest payment above and include the additional expenses in the table below. If you are unsure, please send us a
copy of your mortgage statement.
Additional Mortgage Expenses
Expense Amount
Frequency of Payment
Real Estate Taxes
$
Monthly / Yearly
Home Insurance
$
Monthly / Yearly
PMI (if applicable)
$
Monthly / Yearly
Other
$
Monthly / Yearly
CURRENT INCOME
List your current base salary and note if you anticipate the base salary will change.
Client 1
Current Base Salary
$
$
Client 2
Are you aware of any significant change to your income (e.g. promotion, maternity leave, etc.)?
Client 1
Client 2
Anticipated Event & Year
Frequency
New amount
Anticipated Event & Year
Frequency
$
New amount
$
$
$
$
$
Do you receive regular bonuses or other types of incentives aside from your regular salary? If so, how often does it
occur and what amount do you usually receive?
Client 1
Client 2
Additional Compensation
Frequency (please circle one)
Monthly, Quarterly, Yearly, Varies
Monthly, Quarterly, Yearly, Varies
Monthly, Quarterly, Yearly, Varies
Monthly, Quarterly, Yearly, Varies
Other Incentives
Frequency (please circle one)
CURRENT LIVING EXPENSE
In this section, please enter an estimate for your basic day-to-day living expenses (e.g., food, clothes, utilities, etc.).
You may also use the budget worksheet on page 5.
Current Living Expense
Life Goals & Plans 2015
$__________________ Monthly / Yearly
2
©2015 Hamilton Financial Partners
Life Goals & Transitions Plan
Date: ___/___/_____
Client 1 (C1): _________________________
Client 2 (C2): _________________________
RETIREMENT TIME HORIZON (Skip if retired)
At what age would you like to retire?
Client 1
Client 2
Target Retirement Age
RETIREMENT LIVING EXPENSE (Skip if retired)
Considering your current living expenses and retirement lifestyle goal, please answer the following question.
Do you anticipate your
retirement living
expenses will be:
Substantially
Larger
Moderately
Larger
The Same
Moderately
Smaller
Substantially
Smaller
(>25% more)
(10%-25%
More)
(10% less to
10% more)
(10%-25%
Less)
(> 25% less)
SOCIAL SECURITY BENEFITS
For many people, Social Security provides a necessary supplement to their retirement income. If you have an
estimate provided by the Social Security Administration or are already receiving benefits, enter this amount below. If
you do not know your eligible benefit, please leave this section blank and the program will calculate an approximation
for you based on the salary you entered above.
Client 1
Client 2
 Yes  No
 Yes  No
Are you currently drawing Social Security benefits?
Benefit amount
At what age did you start or do you plan to start
benefits?
$
$
RETIREMENT INCOME
If you have additional sources of income that will continue during retirement, please note them in the table below.
Please do not include interest and dividends from investment accounts we would manage. You should include,
however, income from part-time work, rental properties, pension benefits, annuity income, royalties, alimony, etc.
The program will assume that all of these amounts are pre-tax and begin at retirement unless you note otherwise.
Owner
Description
e.g., Rental Income
C1
C2










Monthly
Amount
$1,000
$
Year
Income
Will End
% Survivor
Benefit
2024
100%
$
$
$
POSSIBLE PLAN ADJUSTMENTS (Skip if retired)
For many people, their current assets and savings level are not sufficient to meet their retirement income objectives.
Adjustments that can help to resolve this gap include increasing savings, reducing your retirement spending needs,
taking more investment risk in hopes of increasing return, and delaying retirement. Please indicate your willingness to
make these possible adjustments, if necessary, to meet your retirement goal in the table below.
Somewhat
Slightly
How willing are you to save more?
Very Willing
Not at all
Willing
Willing
Somewhat
Slightly
How willing are you to spend less in retirement?
Very Willing
Not at all
Willing
Willing
How willing are you to increase your investment risk in
Somewhat
Slightly
Very Willing
Not at all
hopes of higher returns1?
Willing
Willing
Somewhat
Slightly
How willing are you to increase your retirement age?
Very Willing
Not at all
Willing
Willing
1. While taking more investment risk has been associated with higher returns over longer time periods, increased risk is not a
guarantee of higher investment return.
Life Goals & Plans 2015
3
©2015 Hamilton Financial Partners
Life Goals & Transitions Plan
Date: ___/___/_____
Client 1 (C1): _________________________
Client 2 (C2): _________________________
LIFESTYLE GOALS
Lifestyle Goals are major life events that you anticipate in addition to your retirement. By including estimated timing
and costs associated with these goals, we can create a more complete picture of your true spending means. Lifestyle
Goals are above and beyond what you need to pay the basic expenses of day-to-day living and include events such as
new car purchases, major vacations, or starting a new business.
Please use the table below to note these major events and the approximate timing when they may occur.
Rate the importance of each Goal on a scale of 1-10 with 10 being most important. This will help us to segment your
goals into Needs (10, 9, 8), Wants (7, 6, 5, 4), and Wishes (3, 2, 1).
MOST COMMON
New Car
Gift or Donation
Home Improvement
OTHER GOALS
New Home
Start Business
Private School
Wedding
Other Purchase
Leave Bequest
Celebration
Provide Care
Work Transition
Est. Start1
Importance
High---Low
10  1
8
GOALS
College
Travel
Health Care
Description
e.g., Ann’s Lexus
Total
Cost2
Upfront
Cost3
How
Often4
Est.
End
Age5
$25,000
$5,000
Every
5 Yrs
85
At
Retirement
C1
C2
Year
1-5
yrs
5+
yrs
2017




















$
























$








$
$
$
$
$
$
$
$
$
$
1. If known, enter the year that you expect this goal to begin (e.g. If buying a new car in two years, enter 2017). If you are unsure,
mark either 1-5 years or 5+ years; if goal starts at retirement, select the appropriate box (please use best estimate).
2. What is the total cost you plan to incur for this goal (e.g. if a purchase has a ticket item of $25,000, that is the total cost)?
3. What is the amount you expect to pay after trade-in or as a down payment? List “N/A” if you are planning to pay it in full (e.g. if
you purchase a car and plan to pay it all upfront, your upfront cost would be the total amount of the car. If you plan to take a
loan but put $5,000 down, your upfront cost would be $5,000).
4. Is this a one-time event vs. multiple events throughout your lifetime? If it is a multiple event, please write how often you would
like to incur this expense (e.g. purchasing a car every 5 years).
5. Some expenses may only occur once, but for expenses that will be ongoing, at what age do you estimate these expenses will end
(e.g. car purchases will end at age 85)?
GIFTS AND BEQUESTS
How important is it to gift/bequeath any of your current investments in the future to others.
 Very important




Somewhat important
Not very important
I am unsure
I do not plan on having an estate plan or this is not applicable at this time
Life Goals & Plans 2015
4
©2015 Hamilton Financial Partners
Life Goals & Transitions Plan
Date: ___/___/_____
Client 1 (C1): _________________________
Client 2 (C2): _________________________
BUDGET - OPTIONAL TO HELP DETERMINE BASIC LIVING EXPENSE
(Please Circle: M for Monthly or Y for Yearly)
Salary (Gross)
M or Y
Home Expenses
M or Y
Employment – C1
M / Y
Association Fees
M / Y
Other – C1
M / Y
Electricity
M / Y
Employment – C2
M / Y
Furniture
M / Y
Other – C2
M / Y
Gas / Oil
M / Y
TOTAL
M / Y
Household Help
M / Y
Household Items
M / Y
Current
Personal & Family Expenses
M or Y
Internet / Cable / TV
M / Y
Alimony
M / Y
Lawn Care
M / Y
Bank Charges
M / Y
M / Y
Business Expense
Maintenance
M / Y
Security System
M / Y
Care for Parents / Other
M / Y
Water / Sewer / Trash Pickup
M / Y
Cash – Misc.
M / Y
M / Y
Charitable Donations
Other
M / Y
TOTAL
M / Y
Children’s Expense
M / Y
Clothing – Children
M / Y
Fixed Expense
M or Y
Clothing – C1
M / Y
Mortgage / Rent
M / Y
Clothing – C2
M / Y
Homeowner’s Insurance
M / Y
Club Dues
M / Y
Property Tax
M / Y
Dining
M / Y
Home Equity Line of Credit
M / Y
Entertainment
M / Y
M / Y
Gifts
Car Loan / Lease Payment
M / Y
Student Loans
M / Y
Groceries
M / Y
Credit Card Payment
M / Y
Health & Fitness – Misc.
M / Y
M / Y
Hobbies
Other
M / Y
TOTAL
M / Y
Home / Cell Phone
M / Y
Laundry / Dry Cleaning
M / Y
Personal Insurance Expenses
M or Y
Personal Care
M / Y
Disability for C1
M / Y
Pet Care
M / Y
Disability for C2
M / Y
Recreation
M / Y
Life for C1
M / Y
Vacation / Travel
M / Y
Life for C2
M / Y
Other
M / Y
Long Term Care for C1
M / Y
TOTAL
M / Y
Long Term Care for C2
M / Y
Medical/Health for C1
M / Y
Vehicle Expenses
M or Y
M / Y
Car Insurance
Medical/Health for C2
M / Y
Umbrella Liability
M / Y
Vehicle Registration
M / Y
Other
M / Y
Fuel
M / Y
TOTAL
M / Y
Repairs / Maintenance
M / Y
Parking / Tolls
M / Y
Total All Expenses
M or Y
Docking / Storage
M / Y
Personal & Family Expenses
M / Y
Other
M / Y
Vehicle Expenses
M / Y
TOTAL
M / Y
Home Expenses
M / Y
Fixed Expenses
M / Y
Personal Insurance Expenses
M / Y
TOTAL
M / Y
Life Goals & Plans 2015
Current
Retirement
Current
Retirement
Retirement
5
Current
Retirement
Current
Retirement
Current
Retirement
Current
Retirement
©2015 Hamilton Financial Partners
Life Goals & Transitions Plan
Date: ___/___/_____
Client 1 (C1): _________________________
Client 2 (C2): _________________________
INSURANCE POLICIES - OPTIONAL TO GIVE US A BETTER UNDERSTANDING OF YOUR CURRENT
INSURANCE COVERAGE
If you currently own any insurance policies, please summarize them in the table below.
Client 1 Policies
Group Life Insurance
Death Benefit
 Yes  No
Premium:
$
Death Benefit
$
Current Cash Value
$
Average Yearly Growth Rate
Do you intend to use the Cash Value from
the policy to help fund your Goals?
month / year
$ ___________
month / year
When does benefit terminate?
 Yes  No
Cash Life Insurance
$ ___________
When does benefit terminate?
 Yes  No
Term Life Insurance
Death Benefit
Premium:
$
Premium:
$ ___________
month / year
%
 Yes  No
Disability Insurance
 Yes  No
Premium:
$ ___________
month / year
Long Term Care Insurance
 Yes  No
Premium:
$ ___________
month / year
Benefit Amount
Elimination Period
(e.g. 90 days)
$
Medicare Supplement
Client 2 Policies
Group Life Insurance
Death Benefit
$ ___________
month / year
 Yes  No
Premium:
$ ___________
month / year
When does benefit terminate?
Premium:
$
$
Current Cash Value
$
Average Yearly Growth Rate
Do you intend to use the Cash Value from
the policy to help fund your Goals?
$ ___________
month / year
When does benefit terminate?
 Yes  No
Death Benefit
Premium:
$ ___________
month / year
 Yes  No
Premium:
$ ___________
month / year
 Yes  No
Premium:
$ ___________
month / year
%
 Yes  No
Disability Insurance
Long Term Care Insurance
Medicare Supplement
Premium:
 Yes  No
Cash Life Insurance
Benefit Amount
Elimination Period
(e.g. 90 days)
 Yes  No
$
Term Life Insurance
Death Benefit
Please circle one: Daily / Monthly / Yearly
$
Please circle one: Daily / Monthly / Yearly
 Yes  No
Premium:
$ ___________
month / year
Securities offered through First Allied Securities, Inc., a registered broker/dealer, member FINRA/SIPC.
Advisory services offered through First Allied Advisory Services, Inc., a registered investment adviser.
Life Goals & Plans 2015
6
©2015 Hamilton Financial Partners