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Best Interest Questionnaire
What best describes your risk tolerance for any asset?
I am NOT comfortable with potential LOSS of my PRINCIPAL due to market downturns, however, I would be comfortable with the ability to achieve some growth.
I am comfortable with potential LOSS of my PRINCIPAL in an exchange for the opportunity to achieve higher growth and the potential for greater returns.
Please select the one that best describes your tolerance for risk and potential returns:
I wish to preserve and protect my principal from market downturns.
I am seeking a stable, consistent rate of return over a specified duration.
I am seeking a higher rate of return, regardless of the risk of losing my principal.
Which of the following personal objectives are most important to you?
Accumulation of Asset
Income – Access to lifetime income or guaranteed payment of income.
Death Benefit – Leave money to beneficiaries.
If you selected “Accumulation of Asset”, please mark one of the following responses indicated below:
I am seeking returns based on a fixed interest rate and returns are not linked to an index.
I am seeking returns linked to the performance of one or more indexes.
If you selected “Income”, please indicate the anticipated horizon for accessing income:
Immediately
1 year from now
Other
What do you think taxes will be at retirement?
Lower
Higher
Other
How do you want to pay for taxes?
Taxed As Earned. Annually.
Taxed Deferred. Pay at harvest.
Tax Exempt. Pay at the seed.
Other
When would you want to start collecting Social Security benefits?
At age 62
Full Retirement Age (FRA) ages 65, 66, 67
Delayed Retirement Age (DRA) age 68+
Other
Which of the following best describes your income?
Under $15,000
$15,000 - $29,999
$30,000 - $44,999
$45,000 - $59,999
$60,000 - $74,999
$75,000 - $89,999
$90,000 or more
Prefer not to answer
What is your age group?
18 - 24
25 - 34
35 - 44
45 - 58
59 - 61
62 - 66
67 - 69
70 - 79
80 or older
Prefer not to answer
What investment, savings, retirement vehicles do you own?
Annuities
CDs
Coverdell Education Savings
Home Equity
Insurance
IRA
Roth IRA
SEP IRA
Simple IRA
Money Market
Municipal Bonds
Mutual Funds
REIT
Savings Account
Stocks
Thrift Savings Plan
US Treasury Bonds
401(k)
403(b) Taxed Sheltered Annuities
457(b)
529 College Plan
Do you pay extra toward mortgage to pay off loan early?
Yes
No
How much monthly?
Do you have life insurance?
Yes
No
How much?
With who?
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