I plan to retire in… *

Now or Less than 2 years

2 – 4 years

4 – 6 years

7 – 10 years

More than 10 years

My Anticipated Annual Withdrawal Percentage is…

What percentage of the portfolio’s current value will you withdraw annually once withdrawals begin?

This would be the percentage that you plan to withdraw annually from your retirement accounts to supplement current income streams like social security and pension income.

For example: Someone with $1,000,000 invested might want to pull out $20,000 annually for additional expenses. This would be the equivalent of a 2% withdrawal.

What best summarizes your attitudes regarding investing and inflation? *

Not Run Out of Money: I want my principle to be "safe"; with little or no volatility.

Not Run Out, but Not Lose Value: I want to minimize short-term volatility, even if it meant my portfolio could only keep pace with inflation.

Maximize My Income: I want a portfolio to moderately exceed inflation over the long run, and I am willing to accept moderate short-term fluctuations in value (includes potential for loss) to achieve this goal.

Grow My Assets: I prefer a portfolio that seeks to substantially exceed inflation over the long run, and I am willing to accept large, short-term fluctuations in value (and a greater potential for loss) to achieve this goal.

How would you describe your future income cash flow? *

Unpredictable Or Unstable

Fairly Consistent

Believed To Be Stable Or Slightly Increase

Stable With Expectations of Continued Increase

I am comfortable with investments that may lose money if they offer the potential for higher returns. *

If the market were to drop 20% in a short period, I would most likely… *

Sell Everything: It would confirm that I am not comfortable with the market.

Sell Some Positions: In the portfolio and move to “safer” investments.

Stay The Course: And I would choose to pay less attention to the financial news.

Invest More

How much volatility are you willing to accept? *

Minimal: I do not want to risk losing money, even if it means my returns are relatively small.

Some: I am willing to accept occasional short-term losses as long as my portfolio is generally structured to grow over time.

Moderate: I am willing to accept moderate ups and downs of the market, to pursue higher returns.

Considerable: I am willing to take substantial risk to pursue significantly higher returns.

If I placed $250,000 in an asset for five years, I would be most comfortable with the following worst and best-case scenario. *

$228,925 to $296,125: 0% Equity and 100% Fixed Income

$238,225 to $295,975: 25% Equity and 75% Fixed Income

$207,025 to $336,325: 50% Equity and 50% Fixed Income

$170,625 to $381,825: 75% Equity and 25% Fixed Income

$133,200 to $428,400: 100% Equity and 0% Fixed Income

What is the primary objective of your retirement or investment obejctives? *

Guaranteed Income I Cannot Outlive

Preserve Asset Value

Asset Growth with Moderate Current Income

Strong Asset Growth with Nominal Income

Maximum Asset Growth

How important is it for you to have Guaranteed Income that you can’t outlive? *

Are you concerned that you might run out of money? *

Yes

No

Are you concerned about how your money is invested? *

Yes

No

Do you expect to care for a child or a parent? *

Yes

No

Are you concerned how the estate laws may affect you? *

Yes

No

Do you want to reduce your Social Security Taxation? *

Yes

No

Is lifestyle important to maintain for your spouse? *

Yes

No

Are you concerned “how to figure out how much you need for retirement”? *

Yes

No

Do you have income from retirement account(s)? *

Yes

No

Do you have income from real estate? *

Yes

No

Do you have a distribution plan? *

Yes

No

Do you have a will? *

Yes

No

Do you have a living trust? *

Yes

No

Do you have an Irrevocable Grantor Trust? *

Yes

No

Do you expect an inheritance? *

Yes

No

First Name *

Last Name *

Email *

Address

Representative *

Today's Date

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