Financial Planning Questionnaire - Kelly Wealth Services · Financial Planning Questionnaire | 3...

Issue Number 1 | March 2012

Prepared for

Adviser Name

Financial Planning Questionnaire

2 | Financial Planning Questionnaire

Contents

Personal Details 3

Lifestyle and Financial Goals 5

Investment Preferences 7

Income and Expenses 8

Social Security 10

Assets and Liabilities 11

Superannuation and Income Streams 14

Insurance 16

Insurance Needs Analysis 17

Health and Estate Planning 19

Authorisation 20

Client authorisation for Additional Information from Other Institutions or Financial Advisers 22

Investment Replacement Checklist 24

Insurance Replacement Checklist 26

Superannuation/Pensions Replacement Checklist 29

Financial Planning Questionnaire | 3

Personal Details

Client 1 Client 2

Title (e.g. Mr, Mrs)

Surname

Given name

Preferred name

Gender Male Female Male Female

Marital status

Date of birth (DD/MM/YYYY) / / / /

Retirement age

Relationship betweenclients 1 & 2

Residential address

State Postcode State Postcode

Postal address (write ‘as above’ if same as residential address) State Postcode State Postcode

Home telephone

Business telephone

Mobile

Email address

Facsimile

Preferred contact method

Occupation

Employment status Full-time

Part-time

Self employed

Not working/Retired

Full-time

Part-time

Self employed

Not working/Retired

Hours worked per week

Employer’s name

Employer’s address

Employer’s phone number

Date employment commenced

/ / / /

Is salary packaging available? Yes No Yes No

If self-employed, what is the business structure?

Sole Trader Company

Partnership Split %

Sole Trader Company

Partnership Split %


Client 1 Client 2

Are you an Australian resident for taxation purposes?

Yes No Yes No

If no, which country?

Are you fluent in English? Yes No Yes No

Do you require the assistance of an interpreter?

Yes No Yes No

Dependants

Name Date of birth Relationship When would you expect dependency to cease?

/ /

/ /

/ /

/ /

Third Parties

Name Phone Address

Family member

Accountant/Tax agent

Banker

Solicitor

Doctor

Other

Do you need to consult any of the above in your decision making process?

Yes No If yes, who?

Notes


Lifestyle and Financial Goals

Details of Explicit Needs/Client Verbatim Amount/Instruction

$

Address now

Ongoing goal

Address in ___ years

Not in scope

$

Address now

Ongoing goal


Not in scope

$

Address now

Ongoing goal


Not in scope

$

Address now

Ongoing goal


Not in scope

$

Address now

Ongoing goal


Not in scope

$

Address now

Ongoing goal


Not in scope


Details of Explicit Needs/Client Verbatim Amount/Instruction

$

Address now

Ongoing goal


Not in scope

$

Address now

Ongoing goal


Not in scope

$

Address now

Ongoing goal


Not in scope

$

Address now

Ongoing goal


Not in scope

$

Address now

Ongoing goal


Not in scope

$

Address now

Ongoing goal


Not in scope


Investment Preferences

Please indicate the level of preference to the following options (where 1 is important, 2 is neutral and 3 is not important).

Client 1 Client 2

Flexibility and diversity in investment choice

Simpler administration

Automatic asset allocation/rebalance

Greater control and more active management

Cost effectiveness

Other

Do you have any environmental, social or ethical considerations that need to be taken into account?

Yes If yes, please give details:

No

Yes If yes, please give details:

No

Notes


Income and Expenses

Income

Select Frequency: Weekly Fortnightly Monthly Yearly

Source of income (before tax) Client 1 ($) Client 2 ($) Joint ($) Non-taxable ($)

Salary and/or wages (include SG contributions)

Bonus income

Social security income

Maintenance (e.g. child or spousal) income

Investment income

Pension/annuity income

Distribution income (e.g. trust)

Net rental income^

Net business income (e.g. sole trader, partnership)

Other taxable income (e.g. director’s fees)

Other

Other

Other

Subtotal Income

Total combined income (before tax)

Less: Estimated tax and/or other deductions (e.g. super, salary sacrifice, salary packaging)

Net combined income

* Where these payments attract superannuation contributions, you must consider these if making a superannuation contribution recommendation, with reference to the superannuation contribution limits.

^ Include where there is a long-term tenancy agreement in place of at least 12 months.

Notes


Expenses

Select Frequency: Weekly Fortnightly Monthly Yearly

Client 1 ($) Client 2 ($) Joint ($) Non-taxable ($)

Household (rates, utilities, food, etc.)

Car/boat/transport

Rent/ home mortgage

Credit cards

Other debt repayments

Personal (e.g. clothing)

Transport (e.g. car(s), fares)

Insurance premiums (general/life)

Medical/dental

Dependant(s)/maintenance payments

Entertainment

Education

Holidays

Superannuation contributions*

Business overheads

Regular savings plans

Donations (charity/foundation)

Other

Other

Other

Total combined expenses

Surplus/deficit (total net combined income less total combined expenses)

* Includes non-concessional or spouse superannuation contributions. Note, concessional or salary sacrifice contributions are recorded at ‘Income’ above.

Summary: Income, Expenses and Savings ($)

What are your living costs? (from above) p.a.

How much do you or your household save each year? p.a.

Do you expect any changes to your income and/or expenses? Yes No

If yes, please provide details

How much readily accessible money do you expect you might need to meet emergencies and your day-to-day expenditure?*

p.a.

How is your surplus used or deficit met?

* Cash, savings, liquid investments.


Social Security

Client 1 Client 2

Are you currently eligible for Centrelink/DVA benefits? Yes No Yes No

If yes, what benefit(s) are you eligible for?

Please provide details of the benefits received, such as frequency, reason, length of payment, etc.

Do you have any Centrelink/DVA concession cards (PCC, HCC or CSHC)? Yes No Yes No

Have you ‘gifted’ assets in the last 5 years? Yes No Yes No

If yes, how much and when? $

/ /

$

/ /

Notes


Asse

ts a

nd

Lia

bilit

ies

Ass

ets

Am

ount

($)

Ow

ner

Dat

e P

urch

ased

Insu

red

and

up

to

dat

e?In

sure

rS

um In

sure

d

($)

Pre

miu

m ($

)C

entr

elin

k Va

lue

($)

Prin

cipa

l res

iden

ce

/

/ Y

es

No

Hom

e co

nten

ts

/

/ Y

es

No

Mot

or v

ehic

le

/

/ Y

es

No

Car

avan

, boa

t, et

c.

/

/ Y

es

No

Col

lect

ible

s

/

/ Y

es

No

Hol

iday

hou

se

/

/ Y

es

No

Bus

ines

s go

odw

ill

/

/ Y

es

No

Bus

ines

s(p

lant

, equ

ipm

ent a

nd s

tock

)

/

/ Y

es

No

Oth

er

/

/ Y

es

No

Oth

er

/

/ Y

es

No

Oth

er

/

/ Y

es

No


Liab

ilitie

s

Lend

erO

wne

rFa

cilit

y/Li

mit

($)

Bal

ance

($)

Inte

rest

R

ate

(%)

P&

I or

Inte

rest

. on

ly

Sta

rt D

ate

Term

Mo

nthl

y R

epay

men

t ($

)

Sec

ured

ag

ains

tD

educ

tible

Mor

tgag

e

/

/N

/A

Cre

dit

card

s

/

/N

/AN

/A

Sto

reca

rds

/

/

N/A

Inve

stm

ent

/ mar

gin

loan

/

/

Yes

N

o

Per

sona

l lo

ans

/

/

Yes

N

o

Bus

ines

s lo

ans

/

/

Yes

N

o

Oth

er

/

/ Y

es

No

Oth

er

/

/ Y

es

No

Oth

er

/

/ Y

es

No

Doe

s an

yone

act

as

a lo

an g

uara

ntor

ove

r any

of t

hese

loan

obl

igat

ions

? Y

es

No

If ye

s, p

leas

e sp

ecify

the

nam

e of

gua

rant

or(s

) and

for

whi

ch lo

an(s

)

Not

es

Ext

ra in

form

atio

n re

gard

ing

repa

ymen

t opt

ions

– P

rinci

pal a

nd In

tere

st (P

&I)

or In

tere

st o

nly,

freq

uenc

y of

pay

men

t and

any

est

ablis

hmen

t, ex

it or

oth

er a

pp

licab

le fe

es p

ayab

le, e

tc.


Inve

stm

ents

and

sav

ings

Cas

h an

d fi

xed

inte

rest

in

vest

men

tsO

wne

rC

urre

nt v

alue

($)

Inte

rest

rate

(%

) pa

Pur

chas

e d

ate

Mat

urity

d

ate

Rei

nves

t inc

om

eA

mou

nt ($

or %

) to

re-a

lloca

te

/

/

/

/

Yes

N

o

/

/

/

/

Yes

N

o

/

/

/

/

Yes

N

o

/

/

/

/

Yes

N

o

/

/

/

/

Yes

N

o

Dire

ct p

rop

erty

inve

stm

ents

Ow

ner

Cur

rent

val

ue ($

)R

enta

l in

com

e ($

)P

urch

ase

pric

e ($

)P

urch

ase

dat

eM

ort

gag

edR

e-al

loca

te

(as

at _

__ /_

__ /_

__)

/

/

Yes

N

o Y

es

No

/

/

Yes

N

o Y

es

No

/

/

Yes

N

o Y

es

No

Sha

res

and

man

aged

fund

sO

wne

rC

urre

nt v

alue

($)

Tota

l uni

ts/

shar

esP

urch

ase

dat

eG

eare

dR

e-in

vest

in

com

eA

mou

nt ($

or %

) to

re-a

lloca

te(a

s at

___

/___

/___

)

/

/

Yes

N

o Y

es

No

/

/

Yes

N

o Y

es

No

/

/

Yes

N

o Y

es

No

/

/

Yes

N

o Y

es

No

/

/

Yes

N

o Y

es

No

Sav

ing

s p

lans

Ow

ner

Am

oun

t ($)

Sta

rt d

ate

Term

Freq

uenc

y

/

/

Yes

N

o

/

/

Yes

N

o

/

/

Yes

N

o


Superannuation and Income Streams

Superannuation Details

Superannuation &/or Rollover Funds*

Owner Current value ($) Start date Super Choice Amount ($ or %) to re-allocate

/ / Yes No

/ / Yes No

/ / Yes No

/ / Yes No

/ / Yes No

* Where the fund is a SMSF, please complete the SMSF Investment Strategy Workbook.

Previous Contribution Amounts

Superannuation contributions made in the current financial year and previous two (2) financial years

Client 1 Client 2

Current Financial Year

Year ending

Concessional amount

Non-concessional amount

30/06/ 30/06/

$ $

$ $

Previous two (2) Financial Years

Year ending

Concessional amount


30/06/ 30/06/

$ $

$ $

Year ending

Concessional amount


30/06/ 30/06/

$ $

$ $

Note: You must ensure that Income Bonus, Salary Sacrifice and/or employer Superannuation Guarantee payments are reflected in the above table.


Current Pension Annuity

1 2 3 4

Owner

Fund name

Pension/annuity type

Complying (Centrelink)

Date of purchase / / / / / / / /

Investment amount $ $ $ $

Current value $ $ $ $

Current units

Centrelink deductable amount

$ $ $ $

Tax free component $ $ $ $

Taxable component $ $ $ $

Income p.a. $ $ $ $

Indicate min/max/specified

Payment frequency

Term of pension/annuity

Indexed Yes No Yes No Yes No Yes No

Indexation rate % % % %

Residuary capital value

$ $ $ $

Reversionary Yes No Yes No Yes No Yes No

Death Benefit nomination

Yes No Yes No Yes No Yes No

Redundancy or early Retirement Payment

Have you, or will you expect to receive a Redundancy or Early Retirement Payment? Yes No

Please provide any documentation relating to such payments.

Service period Client 1 Client 2

Employment commencement date

Date employment to cease

Amount of redundancy/ early retirement payment

Payment for unused annual leave

Payment for unused long service leave

Will you have to exit the superannuation fund?

/ / / /

/ / / /

$ $

$ $

$ $

Yes No Yes No


Insu

ran

ce

Cur

rent

per

sona

l ins

uran

ce (t

erm

life

cov

er, t

otal

& p

erm

anen

t dis

abilit

y (T

PD

), tr

aum

a, w

hole

of l

ife o

r end

owm

ent)

Prov

ider

Type

Life

insu

red

Ow

ner/

bene

ficia

ryC

over

leve

l ($)

Ann

ual

prem

ium

($)

Surre

nder

valu

e (if

any)

($)

Mat

urity

valu

e (if

an

y) ($

)TP

D d

efin

ition

– ow

n/an

y/ho

me

dutie

s/ge

nera

l

Insid

e/ou

tsid

e Su

per

Ret

ain

Yes

N

o

Yes

N

o

Yes

N

o

Wha

t exi

stin

g as

sets

wou

ld b

e re

alis

ed (f

ully

and

/or p

artia

lly) i

n th

e ev

en o

f dea

th/T

PD

/tra

uma?

Ass

etA

mou

nt ($

)O

wne

rD

eath

TP

DTr

aum

a

Yes

N

o Y

es

No

Yes

N

o

Yes

N

o Y

es

No

Yes

N

o

Yes

N

o Y

es

No

Yes

N

o

Cur

rent

inco

me

prot

ectio

n or

sal

ary

cont

inua

nce

insu

ranc

e

Pro

vid

erO

wne

rA

gre

ed o

r in

dem

nity

val

ue ($

)M

onth

ly

ben

efit

($)

Ann

ual

pre

miu

m ($

)W

aitin

g p

erio

dR

etai

nIn

side

or

outs

ide

Sup

erB

enef

it pa

ymen

t pe

riod

Yes

N

o

Yes

N

o

Yes

N

o

Not

es


Insurance Needs Analysis

In the event of death Client 1 Client 2 Joint

Debts to extinguish $ $ $

Proportion of the income to replace % %

Income required To age _______ or for ______ years

To age _______ or for ______ years

Annual cost per child $ $

Expenses on death – e.g. funeral costs, legal costs, etc.

$ $

Other $ $

In the event of total & permanent disability (TPD)






One off medical/lifestyle cost(s) $ $

Annual medical/lifestyle cost(s) $______ for ____ years $______ for ____ years

In the event of trauma






One off medical/lifestyle cost(s) $ $

Annual medical/lifestyle cost(s) $______ for ____ years $______ for ____ years

In the event of illness or injury

Replace income % %

Replace portion of Superannuation Guarantee? Yes No Yes No

Do you have an alternative source of income? Yes No Yes No

How many months can you go without your income?

In the event of child trauma

Sum insured per child $


Insurance Features – desired

Client 1 Client 2

Death

Buy back

Extend expiry age on Life cover (e.g. until 99)

TPD

Buy back

Own occupation definition

Income Protection

Agreed value

Preferred waiting period

30 days

60 days

90 days

Note, for BT Protection Plans, the first payment is generally paid monthly in arrears after the waiting period is completed.

Trauma

Buy back

Re-instatement

Other

Stepped or level premiums

CPI automatic adjustment

Automatic upgrade in better features and benefits

Flexibility to adjust structure of premium to your needs

Child Benefits

Other

Notes


Health and Estate Planning

Health

Client 1 Client 2

What is the state of your health? Excellent

Good

Poor

Other (specify)

Excellent

Good

Poor

Other (specify)

Smoker Yes No Yes No

Are there any health issues that need to be considered in making an investment or insurance decisions?

Yes No Yes No


Do you have private health insurance? Yes No Yes No

If yes, please outline the provider details

Accrued sick leave days

Accrued annual leave days

Accrued days long service leave

What are the main duties of your occupation?

Are you involved in any hazardous pursuits? Yes No Yes No


Estate Planning

Client 1 Client 2

Power of Attorney

Do you have a current Power of Attorney?

If yes, please state type:

Yes No Yes No

Enduring

Medical

Normal

General

Other

Enduring

Medical

Normal

General

OtherWill

Do you have a Will? Yes No Yes No

What is the date of your Will? / / / /

Who is the executor?

Adequacy and EquityWill sufficient funds be available to your dependants between your death and the distribution of your Estate?

Yes No Yes No

Have you considered Capital Gains Tax on any assets you bequeath directly to beneficiaries?

Yes No Yes No

Superannuation AssetsHave you made binding nominations on death?

If yes, who? Yes No Yes No


Authorisation

Client acknowledgement

I/We have received a copy of the Magntiude Financial Services Guide and Credit Guide (FSG & CG) at the first interview and have read and understood it, including the section titled ‘Privacy Statement.’ I/We agree to Kelly Wealth Services collecting, using and disclosing my/our personal information in accordance with the Magnitude Privacy Policy.

I/We will inform any other individual, such as dependants, spouse and/or partner, that I/we have provided information about them and make them aware of the information provided in the Magnitude Privacy Policy.

Client 1 Name

Client Signature Date

| |

Client 2 Name


| |

Financial Adviser Name

Financial Adviser Signature Date

| |

Client authorisation I/We and confirm that:

I/We have received a copy of the Financial Services Guide Part 1 Version , dated

and Part 2 Version dated at (or prior to) the

first interview and have read and understood it, including the section titled ‘How we protect your privacy’.

My/our risk profile is:

Client 1

Client 2

As agreed in the ‘Determining your Investment Risk Profile’ booklet.

I/We authorise , an Authorised Representative of Magntiude, to (tick the relevant box/s):

Retain and store my Tax File Number for the period the Authorised Representative is acting on my/our behalf.

Quote my/our Tax File Number information to the Australian Taxation Office when necessary and investment bodies when making investments on my/our behalf.

Client 1 Tax File Number

Client 2 Tax File Number


Collect, use and disclose my personal information in accordance with the Magnitude Privacy Policy.

Provide financial advice based on the information disclosed in this booklet and acknowledge that my/our Adviser will rely on the information contained in this document. I/We will inform any other individuals, such as dependants, spouse, partner that I/We have provided information about them and make them aware of the information provided in the Magnitude Privacy Policy.

Retain my/our medical evidence on file.

To proceed with a Statement of Advice based upon the information contained in this booklet.

To charge a fee of $ for preparing a Statement of Advice and on completing the Statement of Advice to:

Debit my bank account — (Where fees are paid via direct debit please complete a direct debit authority form)

Bank the attached cheque — (Please make cheque payable to Kelly Wealth Services)

Other (please specify):

Client authorisation to proceed to adviceI/We request that you provide financial advice based on the information disclosed and acknowledge that you will rely on the information contained in this document.

Basis of advice

Full Advice: I/We have provided you with all relevant information, and have agreed to a full financial plan.

Limited Advice (tick only one option below):

Specific goals and objectives: I/We have provided you with all relevant information in relation to the limited advice that I/we have specifically requested. I/We have been offered full advice however at this time I/we have specifically asked you to limit the advice to:

Specific Product: I/We have provided you all relevant information in relation to the product I/we wish to receive advice on. I/We have been offered full advice however at this time I/we have specifically requested you to limit the advice to the following product(s):

I/We acknowledge that you will charge a fee of $______________ for the written advice.

Client 1 Name


| |

Client 2 Name


| |


Financial Adviser Name

Financial Adviser Signature Date

| |

The following documents have been supplied:

Bank/Investment/Superannuation statements Financial Statements (Audited Financial Statements only if self-employed from last 2 years only)

Tax Returns (last 2 years if self-employed only) ETP Statements

ATO Assessment Notices (last 2 years if self-employed only) Other

Client Authorisation for Additional Information from Other Institutions or Financial Advisers

To whom it may concern:

Client 1 Client 2

I/We

whose date(s) of birth is/are | | | |

of (client address)

Request that all information relating to my/our investments, insurances, superannuation, bank accounts and/or other financial information be released to Kelly Wealth Services on request.

Yours faithfully,

Client 1 Name


| |

Client 2 Name


| |

Account/Policy# Account/Policy#





Financial Adviser contact details

Name

Address

Mobile

Telephone

Email address

Facsimilie

To whom it may concern:

Client 1 Client 2

I/We

whose date(s) of birth is/are | | | |

of (client address)

Request that all information relating to my/our investments, insurances, superannuation, bank accounts and/or other financial information be released to Kelly Wealth Services on request.

Yours faithfully,

Client 1 Name


| |

Client 2 Name


| |






Client Authorisation for Additional Information from Other Institutions or Financial Advisers

Financial Adviser contact details

Name

Address

Mobile

Telephone

Email address

Facsimilie

Investment Replacement Checklist

Financial Adviser Date / /

Client Name

Investment Details Current Proposed

Investment Provider

Product name

Type of fund Cash

Unit Trust

Master trust

Wrap

Other

Cash

Unit Trust

Master trust

Wrap

Other

Commencement date / / / /

Current balance $

Units

$

Units

Fees ($ amount/% p.a.)

Entry

Exit

MER/ICR

Buy/Sell Spread

Administration/Account-Keeping

Switching Fee

Financial Adviser Fee

Other


Will the replacement result in:

Duplication of entry fees (p.a.) Yes $ No

Capital loss on initial investment Yes $ No

Capital gains tax liability Yes $ No

Loss of taxation benefit – break of 125% contribution rule (Insurance Bonds)

Yes $ No

Any other taxation implications Yes $ No

Adjustment to Centrelink benefits Yes $ No

Platform Fees

Type of Fee: Current Proposed

($) (%) ($) (%)

Entry

Exit

Buy/Sell Spread

Administration


Switching Fee

Other

Underlying Investment Details

Current Underlying Investment name(s):

Balance ($) MER/ICR (Including Performance Fee)

($) (%)

Total (Balance and Weighted MER)

Proposed Underlying Investment name(s):


($) (%)



Insurance Replacement Checklist

Asset Allocation

Current Proposed

($) (%) ($) (%)

Cash

Fixed Interest

Australian Shares

International Shares

Property

Other

Is the proposed (or similar) asset allocation available on the client’s existing investment?

Yes No

If yes, what is your justification for recommending a new product?

Product Features and Benefits

Does the product have access to: Details

Direct shares Yes No

Term deposits Yes No

Income stream(s) Yes No

In-specie transfer Yes No

Asset Allocation Yes No Single sector Multi-manager Other

Outline the benefit(s) to the client of replacing existing investment(s):

Unable to access all information (please include incomplete information warning).



Client Name

Insurance Details Current Proposed

Insurance Provider

Product name

Type of cover Accidental death

Super

Ordinary (Life, TPD, Income Protection)

Accidental death

Super

Ordinary (Life, TPD, Income Protection)

Life Insured

Commencement date / / / /

Name of underwriter

Type & sum insured:

Death $ $

TPD (Any/Own/Home duties) $ $

Trauma $ $

Income Protection Agreed value $______ or ___%

Indemnity value

TPD option

Waiting period _________

Benefit period _________

Agreed value $______ or ___%

Indemnity value

TPD option

Waiting period _________

Benefit period _________

Premium structure Stepped Level Stepped Level

Premium payable (from quote) $ $

Indexation linked? Yes No Yes No

Policy Fee (p.a.) (from quote) $ $

Occupation Category (from quote)


Increased premium/policy fee (p.a.) Yes $ No

Health loadings Yes $ No

Loss of loyalty discount Yes $ No

Loss of benefit (e.g. suicide exclusion) Yes $ No

Loss of bonus (e.g. Whole of life or Endowment policies) Yes $ No

Surrender Value (if there is an investment value) Yes $ No

Is there an option to increase/decrease the existing policy? (Note: some older policies have more favourable terms than the newer policies)


Outline the benefit(s) to the client of replacing existing insurance(s):



Superannuation / Pension Replacement Checklist


Client Name

Superannuation Details Current Proposed

Superannuation Provider

Product name

Type of fund Employer Personal Industry Other

Employer Personal Industry Other

If an employer fund, is it: Defined Benefit Accumulation Pension Annuity Other

Defined Benefit Accumulation Pension Annuity Other

Membership number and date joined Fund Number:

/ /

Number:

/ /

Current balance $

Units

$

Units

Surrender value $ $

Regular contribution received? Yes $________ No Yes $_______ NoType of contribution Concessional

Non-concessional Other

Concessional Non-concessional Other

Contribution received over previous 3 years?(If yes, please complete the table on page 14)

Yes $_________ No Yes $_________ No

Tax free component ( i.e. concessional, Pre 1983, Non-concessional, Post-June 1994, Invalidity, CGT Exempt)

$ $

Taxable Component

( i.e. post 1983)

Taxed $

Untaxed $

Taxed $

Untaxed $

Restricted Non-Preserved Amount $ $Preservation Status: Preserved

Restricted Non-Preserved

Unrestricted Non-Preserved

Preserved

Restricted Non-Preserved

Unrestricted Non-PreservedCompulsory preserved benefit:Beneficiaries Name

%

Name

%Type of nomination None

Binding Non-binding Non-lapsing Reversionary

None Binding Non-binding Non-lapsing Reversionary

Current death benefit $Premium $

Stepped Level

Policy Fee $Is there an existing insurance policy attached to the current superannuation fund? Yes NoIf yes, please complete the insurance replacement checklist.


Platform Fees

Type of Fee: Current Proposed

($) (%) ($) (%)

Entry

Exit

Buy/Sell Spread

Administration


Switching Fee

Other

Underlying Investment Details

Current Underlying Investment name(s):


($) (%)


Proposed Underlying Investment name(s):


($) (%)


Asset Allocation

Current Proposed

($) (%) ($) (%)

Cash

Fixed Interest

Australian Shares

International Shares

Property

Other

Is the proposed (or similar) asset allocation available on the client’s existing investment?

Yes No

If yes, what is your justification for recommending a new product?


Product Features and Benefits

Does the product have access to: Details

Direct shares Yes No

Term deposits Yes No

Income stream(s) Yes No

In-specie transfer Yes No

Asset Allocation Yes No Single sector Multi-manager Other


Capital loss on initial investment Yes $ No

Duplication of entry fees Yes $ No

Loss of employer provided insurance e.g. Death/TPD and/or salary continuance

Yes $ No

If yes, please provide details.

Has a replacement been recommended?

Loss of ancillary benefits? Yes $ No

If Defined Benefit, has pension option been explored?

If yes, please provide details: Yes No

Change in preservation status Yes $ No

Any impact on Centrelink benefits


Change in preservation status


Outline the benefit(s) to the client of replacing existing superannuation/pension fund(s):


Referral Source

Referral Type: Financial Adviser referral Self generated Other

Referrer Name:

Magnitude Group Pty Ltd ABN 54 086 266 202, AFSL and ACL number 221557. MC13706-1012lc

Contact Kelly Wealth Services for further information on (07) 4041 2055 or visit www.kellywealth.com.au

Financial Planning Questionnaire - Kelly Wealth Services · Financial Planning Questionnaire | 3...

Documents

Transcript of Financial Planning Questionnaire - Kelly Wealth Services · Financial Planning Questionnaire | 3...