Financial Profile (CLIENT PACKET)

Meeting Agenda Est ate
Pl ans
A. Introduction
B. Agent Background Estate Plans
Long-Term Care
C. Client Background Asset Protection
Wealth Transfer
1. Review Financial Foundation
Wealth Accumulation
2. Investment Risk / MAP
• Retirement Plans
3. Goals and Priorities • Taxes and Inflation
D. Seven Key Steps to Planning • Wealth Strategies
• Business Ownership
1. Financial Foundation RISK MANAGEMENT
2. Risk Management Auto & Property Health
Life
3. Wealth Accumulation Insurance Insurance Insurance
4. Taxes and Inflation Disability Income Protection
5. Retirement Plans Greatest asset is your ability to work…
6. Asset Protection FINANCIAL FOUNDATION
7. Estate Planning Review Current Plans, Goals, Priorities and Documents
E. Six Step Process

1. Personal Commitment
2. Data Gathering Date:

• Financial Questionnaire (two pages)
• Assets and Liabilities
• Budget Analysis
• Social Security Statements
3. Critical Factor Analysis

4. Review Assessment Date:
5. Implementation of Action Plan
6. Introductions to my services… (four or more)
Many people never take the time to do what you are doing. When the time is right and you find a friend,
co-worker or a family member who could benefit from my services, all I ask is that you don’t keep me a
secret. Let me know how to get connected with them.
If you have questions, or need to reset an appointment, please call us.

(425) 280-9169
Corbin Lindsey, Lindsey Financial Services
Phone: (425) 280-9169
Email: corbin@lindseyadvisors.com WEB: www.lindseyadvisors.com
Phone: (425) 280-9169
Financial Foundation Est ate Date:
Pl ans
GOALS and Priorities
Estate Plans
Long-Term Care
Asset Protection
1. Create Your Plan Wealth Transfer
2. Implement Your Plan Wealth Accumulation What’s important about money?
3. Review Your Plan • Retirement Plans
• Taxes and Inflation
• Wealth Strategies
• Business Ownership
RISK MANAGEMENT
Auto & Property Health WHAT IF…?
Life
Insurance Insurance Insurance
Disability Income Protection
Greatest asset is your ability to work…
FINANCIAL FOUNDATION
Review Current Plans, Goals, Priorities and Documents
GOALS & OBJECTIVES (Please answer the level of importance, not rather you have achieved it or not)
LEVEL OF YOUR CONCERN?
AREA OF CONCEARN
LOW MED HIGH
• DISABILITY INCOME – Examine the financial impact a disability would
have on your income.
• CRITICAL ILLNESS – What if you were diagnosed with cancer – heart
attack – stroke or another critical illness?
• NEEDS IN THE EVENT OF DEATH - Examine the financial impact of a
death, including immediate cash needs and continuing income needs.
• SAVINGS ACCOUNT - Having adequate emergency savings set aside for
immediate needs.
• DEBT ELIMINATION – Reduce or pay off all non-mortgage debts (school
loans, auto, credit cards, loans and etc.).
• RETIREMENT – Compare how your current retirement plans compare to
your objectives.
• ASSET ALLOCATION –Examine your current asset allocation in relation
to your risk tolerance. (Aggressive – Moderate – Conservative)
• LONG-TERM CARE – Examine the devastating impact long-term care
cost can have on your financial situation.
• COLLEGE FUNDING – Examine the cost of college and alternative
methods of funding for child(ren) and grandchildren(ren).
• ESTATE PLANNING – Examine your plan for minimizing potential estate
taxes, lawsuits and medical bills.
• ACCUMILATION GOALS – Examine and plan for the cost to accomplish
Phone: (425) 280-9169
major financial goals. (Business Ownership / Rentals & Vacation Property)
What does a Financial Representative do?
Corbin Lindsey, Independent Financial Representative, main goal is to help clients
define their personal financial goals, review their current insurances and investments
and focus on planning. Please review my services and products listed. You will find
that being independent allows me to offer what is best for you and not just from a small
list of what other agents who are captive agent has to offer. I believe that I work for my
clients and not for the insurance companies.
How much will this cost?
Our services are at no cost to you. We do not charge our clients a fee to discuss their planning
needs and develop a personal portfolio for them no matter how many times we meet.
Services Companies Appointed
- Budget Analysis • ALLIANZ LIFE INSURANCE COMPANYOF NORTH AMERICA
- Financial Foundation Review • AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS
- Risk Analysis / Needs Assessment • AMERICAN GENERAL LIFE INSURANCE COMPANY
- Wealth Accumulation Strategies • AMERUS LIFE INSURANCE COMPANY
- Tax Strategies • ASSURITY LIFE INSURANCE COMPANY
- Retirement Planning • AVIVA LIFE INSURANCE COMPANY
- Asset Protection • AXA EQUITABLE LIFE INSURANCE COMPANY
- Estate Planning • BANNER LIFE INSURANCE COMPANY
- Pension Maximization • BUSINESS MEN'S ASSURANCE COMPANY OF AMERICA
- Investment Strategies • C M LIFE INSURANCE COMPANY
- Mortgage Equity Harvesting • EMPIRE GENERAL LIFE ASSURANCE CORPORATION
Business Planning • EQUITRUST LIFE INSURANCE COMPANY
- Business Buy / Sell Funding • FIDELITY & GUARANTY LIFE INSURANCE COMPANY
- Business Continuation • FORESTERS
- Key Man (Golden Handcuffs) • GENWORTH LIFE INSURANCE COMPANY
- Executive Bonus • HARTFORD LIFE AND ANNUITY INSURANCE COMPANY
- Tax Strategies for Business Owners • HARTFORD LIFE INSURANCE COMPANY
- Employee Educational Workshops • ILLINOIS MUTUAL LIFE INSURANCECOMPANY
Insurance Products • ING USA ANNUITY AND LIFE INSURANCE COMPANY
- Disability Insurance • JOHN HANCOCK LIFE INSURANCE COMPANY
- Life Insurance (& Mortgage Protection) • MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY
- Long-Term Care • METROPOLITAN LIFE INSURANCE COMPANY
- Critical Illness • MIDLAND NATIONAL LIFE INSURANCE COMPANY
- Health / Medicare Supplements / Part D • MUTUAL OF OMAHA
Investment Products • OHIO NATIONAL LIFE INSURANCE COMPANY THE
- 401(k) • PENN TREATY NETWORK AMERICA INSURANCE COMPANY
- IRA’s (Traditional / SEP / SIMPLE / ROTH) • PHYSICIANS MUTUAL INSURANCE COMPANY
- Annuities (Fixed / Variable) • PRINCIPAL LIFE INSURANCE COMPANY
- Cash Value Policies (Fixed / Variable) • PROTECTIVE LIFE INSURANCE COMPANY
- Mutual Funds (See List Below for popular funds) • PRUCO LIFE INSURANCE COMPANY
Most Popular Funds: • STATE LIFE INSURANCE COMPANY THE
- American - AIM • SUN LIFE ASSURANCE COMPANY OF CANADA U S
- Lord Abbott - MFS • TRAVELERS LIFE AND ANNUITY COMPANY THE
- Oppenheimer - Mainstay • UNITED OF OMAHA
And many more… • US FINANCIAL LIFE INSURANCE COMPANY
Do you have an agent, advisor or broker actually working FOR YOU?

Phone: (425) 280-9169
Introductions and Referrals
In exchange for helping you with your planning needs, I ask that you help me with my marketing. There are
many like yourself that would love to have the chance to meet with me. If you would provide me with
introductions of those like yourself who take planning seriously, I would be more then glad to contact them and
offer them the same service you have had.
Client Name: Date:
Ideal client, like you –

• Cares about family and community • Is helping / generous and likes to make a
• Spends the time to plan for their lives difference in the lives of others
• Has high integrity and values • Is serious about achieving the freedom
• Seeks professional advice that comes with financial security
Who do you know who embodies those qualities and –

• Expressed desire to educating their Children? • Owns a business or is financially
• If working, has an income of at least $50,000 successful
• Just – Married / had a child / Retired
• If Retired, has • Retirement Planning concerns
• assets of at least $100,000 • Is doing well with their financial goals,
and open to reviewing their needs?
My clients also consist of professionals and business owners.

• Is a successful professionals, such as a CPA, Accountant, Attorney, Physician, Realtor, Loan Officer?
Many are corporate leaders in our community and are on boards of many charities.
• Is a successful business professional or owns a small business?
Please write down the information indicated below. All I ask is that whoever you would like to introduce to
me would have been previously contacted by you and that a desire for me to contact them has been
expressed.
# Contact Name Phone # City Notes

1
2
3
4
5
6
7
8
9
1
0

Phone: (425) 280-9169
Thank you for taking the time to help me to help others reach their financial goals.

Phone: (425) 280-9169
Client Review Date:
Last Name: Home #:
Client: DOB: Age: NS / S
Spouse: DOB: Age: NS / S
Child: DOB: Age: NS / S
Address: E-Mail:
City: Zip Code:
Client Cell: Anniversary:
Spouse Cell: Grandkids:
Occupation: Occupation:
Employer: Employer:
Income: Phone: Income: Phone:
1. What financial products and how would you describe your knowledge of them?
Product Client Spouse Product Client Spouse
INVESTMENTS
Group Life Pension Plan
INSURANCE
Term / Perm Life 401K/403b/457/ IRA’s

Disability Mutual Funds / Stocks
Long-Term Care Bonds / T-Bills
Health Coverage Annuities
Auto / Home / Umbrella CD’s / Money Market
2. Which type of “investor profile” best describes you?
Risk Level Definition Client Spouse
Very Conservative Would not like to take any risk
Conservative Only a small amount of money at risk
Moderate Comfortable with some risk
Aggressive Comfortable with greater risk
Name of Broker: Satisfaction Level: A B C D
3. GOALS & OBJECTIVES (Please answer the level of importance, not rather you have achieved it or not)
LEVEL OF YOUR CONCERN?
AREA OF CONCEARN
LOW MED HIGH
• DISABILITY INCOME
• CRITICAL ILLNESS
• NEEDS IN THE EVENT OF DEATH
• SAVINGS ACCOUNT
• DEBT ELIMINATION
• RETIREMENT
• ASSET ALLOCATION
• LONG-TERM CARE
• COLLEGE FUNDING
• ESTATE PLANNING
• ACCUMILATION GOALS
• OTHER GOALS
 Any Legal Documents: Living Will Medical Directive Power of Attorney Trusts
Last Updated:
Do you need a referral to another professional?
Attorney Tax Accountant Property and Causality Loan Officer Realtor Stock Broker OTHER:
Phone: (425) 280-9169
Assets and Liabilities Worksheet
To facilitate a Needs Analysis which details where your current risk factors and the status of your
retirement outlook, we ask that you obtain recent copies of each investment documents listed below.
(Please have available for review upon our next appointment.)
Client Name: Date:
PLEASE PROVIDE A COPY OF

• Financial Questionnaire Worksheet
• Current Budget Breakdown
• Social Security Statements (A copy may be obtained at www.ssa.gov)
INVESTMENTS / ASSETS (Please have copies to review) Current Value Rate Mo. Payment
• CD’s (Certificate of Deposit) $ % $
• Savings Account / Money Market $ % $
• 401 k / 403 / 457 Plans $ % $
• IRA - Traditional / Simple / SEP $ % $
• IRA – Roth $ % $
• Stock Accounts $ % $
• Mutual Fund Accounts $ % $
• Bond Accounts $ % $
• Annuity (Fixed / Index / Variable)
• Pension (Fed / State / City) $ % $
• Pension (Military / Union) $ % $
• House Market Value $ Equity $
LOANS / OBLIGATIONS Balance Rate Mo. Payment

• House 1st Mortgage $ % $
• House 2nd Mortgage $ % $
• Car Loans $ % $
• Education Loans $ % $
• Personal Loans $ % $
• Other Loans $ % $
• Credit Card Accounts $ % $
• OTHER: $ % $
Current In-Force Policies (Please have copies to review) Face Amount Mo. Payment
• Life Insurance (from work) $ $
• Life Insurance (term) $ $
• Life Insurance (cash value type) $ $
• Disability Income $ $
• Long-Term Care $ $
• Critical Illness Insurance $ $

Phone: (425) 280-9169
*** Please have the above information ready prior to our next appointment. However, should you not be able to gather all information
listed above prior to our meeting you can supply that information at a later date.

Phone: (425) 280-9169
Budget Analysis
Client Name: Date:
First name Occupation Gross Inc Net Inc Medical Pre-tax Save Other
Total Monthly Income Total
Expenses Company Int. Rate Balance Payment Budget Disabled???

Mtg. Loans
1st Mtg
2nd Mtg
Line of Credit
Mortgage Loans Total
Auto Loans
Car
Auto Loans Total

Long-Term Debt
Student Loan
Credit Card
Long-Term Debt Total

Gasoline for cars
(Utilities / Insurances)Monthly Living Expenses
Electricity
Garbage
Sewer & Water
Home Phone
Groceries
Child Care
Auto Insurance
Retirement / Savings
Disability
Life Insurance
Monthly Living Expenses Total

Phone: (425) 280-9169
Monthly Spending
Entertainment
Cell Phones
Cable
Internet
OTHER
Monthly Spending Total

Monthly Expenses Total
SURPLUS / DEFICET
*** Optional Excel version of this budget analysis is available upon request or you may go to: www.lindseyadvisors.com
Financial Questionnaire
Take the time to complete this questionnaire as it will help us to ask you the right questions. We want to help you in all your planning
services. IF you feel there are additional details that we should know about then please turn over the paper and write your comments
along with any additional questions on the back side of this form. Please have this ready for our next appointment.
Client Name: Date:

Health Insurance
Do you have any type of health Insurance? YES NO YES NO
Have you found it to be adequate? YES NO YES NO
Who handles that for you or your company?
Disability Income / Critical Illness
If disabled due to an injury or illness would your income continue? YES NO YES NO
If So, how…? (Payout amount, taxed?)
If disabled, how long would current savings and investments last?
Do you feel comfortable with this? YES NO YES NO
Savings Account
Do you have a systematic savings program? YES NO
How much are you saving monthly? $
Where? How?
Life Insurance Analysis If Husband Dies If Wife Dies
Do you have an adequate amount of life insurance? YES NO YES NO
How much do you currently have? (Group / Individual) $ $
Why did you choose that amount?
What Company?
What type is it? (TERM / WL / UL / EIUL / VUL)
What is the Annual Premium?
How much insurance do you own on your children $

If you died, would your family maintain their standard of living? YES NO YES NO
LUMP-SUM CAPITOL NEEDS AT DEATH
FUNERAL EXPENSES – Burial, Medical Expenses, etc. $ $
PROBATE and TAX LIABILITIES $ $
MORTGAGE / RENT – Balance or Payments Required? $ $
DEBT LIQUIDATION – Loans, Credit Cards, etc.? $ $
EDUCATION FUND – Children / Spouse? $ $
EMERGENCY FUND – Home, Auto Repair & Emergencies, etc.? $ $
CHILD CARE FUND – (yearly cost multiplied by # of years) $ $
Phone: (425) 280-9169
With Children After Children During Retirement
ANNUAL INCOME NEEDS***
Husband Wife Husband Wife Husband Wife
# of Years
Annual Living Expenses of Survivors
Social Security Benefits
Survivors Earned Income
Other Expected Income
*** Please do not complete the “ANNUAL INCOME NEEDS” Section

Phone: (425) 280-9169
Financial Profile Continued
Client Name: Date:
Retirement Planning
At what age would you like to retire?
Does your employer sponsor a retirement plan? YES NO YES NO

If so, what type? (401k / 403b / 457 / Pension / ESOP / Profit Sharing)
Monthly employer contributions $ $ $
Monthly employee contributions $ $ $
Current balance $ $ $
Are you and your spouse covered by Social Security? YES NO YES NO
What is the estimated monthly Social Security Amount? $ $
What age do you plan to take Social Security Income? 62 65 66 67 72 62 65 66 67 72
Do you have military or other pension benefits? YES NO YES NO
How long do you believe that you will live during retirement? 75 80 85 90 95 75 80 85 90 95
In today’s dollars, what annual income do you want at retirement? $ ($24K Suggested Minimum)
Right now, how much more could you save monthly for retirement? $ HOW:
Long-Term Care
Do you currently have a Long-Term Care Policy YES NO
Do you have Assets that you wish to protect? YES NO
Do you feel good about your ability to fund Long-Term Care Needs? YES NO
Education Funding
Do you plan to contribute to your children’s college education? YES NO
Do you have a college in mind? YES NO Which One:
How much have you accumulated? $ HOW:
How much are you currently saving monthly for this? $ HOW:
Right now, how much more could you save monthly for college? $ HOW:
Pension Maximization
Company Name: Company Name:
Yrs at company: Yrs at company:
Are you vested: YES NO Are you vested: YES NO
Pension start date: Pension start date:
Rate per yr: Rate per yr:
Mortgage Maximization
Market Value $ Annual Taxes $
Total Mtg Debt $ Annual Insurance $
Total Equity $ Other:
Mortgage details
1st Mtg Company 2nd Mtg Company
Loan Balance $ Loan Balance $
Interest Rate % Interest Rate %
# of payments remaining # of payments remaining
Notes:

Phone: (425) 280-9169
Life Insurance Worksheet
Date Last Name Husband Wife
Cash Needs at time of death of: HUSBAND WIFE

Immediate Money Fund $ $
Funeral – Medical (hospital) expenses – Attorney – Executor fees – Probate cost – taxes
Mortgage / Rent Payment Fund $ $

Mortgage Amount remaining or Monthly Rent $_____ x 12 x _____ years
Debt Elimination Fund $ $

Credit Cards – Auto Loans – School Loans – Other
Educational Fund $ $
Kids Education Goals ($_____ per child x _____ children = _____ )
Emergency Fund $ $
Unexpected bills like car repairs, roof repairs, medical emergencies, etc.
Other Needs $ $
Child Care, etc.
(A) TOTAL CASH NEEDS AT DEATH $ $

LIVING EXENSES OF: WIFE HUSBAND
Monthly Gross Income Objective $ $
Less: Survivor’s Earned Monthly Income $ $
Less: Estimated Social Security Survivor Benefit $ $
Monthly Income Shortage (if applicable) $ $
• Capital Retention Method $ $
Multiply monthly income shortage by 12 and divide by Expected Net Yield. Take Assumed Interest Rate - Assumed Inflation Rate = Net Yield %
• Capital Depletion Method $ $

Refer to the table on the reverse side of this form for the appropriate amount needed
(B) TOTAL INCOME NEEDS AT DEATH $ $

Funds Available to Meet Needs from: HUSBAND WIFE
Current Life Insurance In Force $ $
Existing Individual and Group Life Insurance Policies / Certificates
Realizable Assets $ $
Checking – Savings – Investments – Etc.
(C) TOTAL FUNDS AVAILABLE $ $
(A) Cash Needs + (B) Income Needs – (C) Funds Available $ $

All Information contained and recorded in this document including the document itself is the property of Corbin Lindsey
and will not be shared with any third party without the express written consent of the client.

Phone: (425) 280-9169
Capitol Depletion Method
Monthly Income Shortage (From Reverse Side) $ $
(A) Assumed Interest Rate % %
(B) Assumed Inflation Rate % %
(C) Net Rate of Return (A-B) % %
Number of years to Depreciate Capital
This is the number of years the insured would like to provide income to his / her survivors
Annuity Factor
(Use the table below to determine the correct Annuity Factor by matching the number of years that income is required and corresponding it with the
expected Net Rate of Return)
Total Income Needs at Death $ $

Monthly Income Shortage x Annuity Factor (This amount should also be transferred to Section B “Total Income Needs at Death on the reverse side
of this form)
NET RATE of RETURN

RequiredYears
2.0% 2.5% 3% 3.5% 4% 4.5% 5% 5.5% 6% 6.5% 7% 7.5% 8%
1 11.87 11.84 11.81 11.78 11.75 11.72 11.69 11.66 11.63 11.60 11.57 11.54 11.51
2 23.51 23.39 23.28 23.16 23.05 22.93 22.82 22.71 22.60 22.49 22.38 22.28 22.17
3 34.92 34.66 34.41 34.16 33.91 33.66 33.42 33.18 32.95 32.72 32.49 32.27 32.04
4 46.11 45.66 45.22 44.78 44.35 43.93 43.52 43.11 42.71 42.32 41.93 41.56 41.18
5 57.08 56.39 55.71 55.04 54.39 53.76 53.13 52.52 51.92 51.34 50.76 50.20 49.64
6 67.83 66.85 65.90 64.96 64.05 63.16 62.29 61.44 60.61 59.80 59.01 58.24 57.48
7 78.37 77.06 75.79 74.54 73.34 72.16 71.01 69.90 68.81 67.75 66.72 65.72 64.74
8 88.71 87.02 85.39 83.80 82.26 80.77 79.32 77.91 76.55 75.22 73.93 72.67 71.45
9 98.84 96.74 94.71 92.75 90.85 89.01 87.23 85.51 83.84 82.23 80.66 79.14 77.67
10 108.78 106.22 103.76 101.39 99.10 96.90 94.77 92.71 90.72 88.81 86.95 85.16 83.43
11 118.51 115.47 112.55 109.74 107.04 104.44 101.94 99.53 97.22 94.99 92.84 90.76 88.77
12 128.06 124.50 121.08 117.81 114.67 111.66 108.77 106.00 103.34 100.79 98.33 95.97 93.70
13 137.42 133.30 129.36 125.60 122.01 118.57 115.28 112.14 109.12 106.24 103.47 100.82 98.27
14 146.60 141.89 137.41 133.14 129.06 125.18 121.48 117.95 114.57 111.35 108.27 105.33 102.51
15 155.60 150.27 145.21 140.41 135.85 131.51 127.39 123.46 119.72 116.16 112.76 109.52 106.43
16 164.42 158.45 152.79 147.44 142.37 137.57 133.01 128.68 124.57 120.67 116.95 113.42 110.06
17 173.07 166.42 160.15 154.24 148.65 143.36 138.36 133.63 129.15 124.90 120.87 117.05 113.42
18 181.55 174.21 167.30 160.80 154.68 148.91 143.46 138.32 133.47 128.88 124.53 120.42 116.53
19 189.86 181.80 174.24 167.14 160.48 154.21 148.32 142.77 137.54 132.61 127.96 123.56 119.41
20 198.01 189.20 180.97 173.27 166.05 159.29 152.94 146.98 141.38 136.12 131.16 126.48 122.08
25 236.42 223.61 211.82 200.93 190.88 181.58 172.97 164.99 157.57 150.69 144.27 138.30 132.73
30 271.21 254.03 238.42 224.22 211.28 199.47 188.66 178.76 169.67 161.32 153.63 146.53 139.98
35 302.72 280.91 261.37 243.83 228.05 213.82 200.95 189.30 178.71 169.08 160.30 152.27 144.91
40 331.26 304.67 281.17 260.35 241.84 225.34 210.59 197.36 185.47 174.75 165.05 156.26 148.27
45 357.11 325.67 298.25 274.25 253.17 234.58 218.13 203.53 190.52 178.88 168.44 159.04 150.55
50 380.53 344.23 312.98 285.95 262.48 242.00 224.05 208.25 194.29 181.90 170.86 160.98 152.11
55 401.73 360.64 325.69 295.81 270.13 247.95 228.68 211.86 197.11 184.10 172.58 162.33 153.17
60 424.56 377.83 338.65 305.60 277.54 253.56 232.94 215.10 199.57 185.97 174.01 163.42 154
65 438.34 387.95 346.10 311.10 281.59 256.56 235.16 216.74 200.79 186.88 174.69 163.92 154.38
70 454.09 399.28 354.26 316.98 285.84 259.63 237.38 218.36 201.96 187.74 175.31 164.38 154.71
All Information contained and recorded in this document including the document itself is the property of
Corbin Lindsey, Independent Agent

2712 179th PL NE, Marysville, WA 98271
Phone: (425) 280-9169 Email: corbin@lindseyadvisors.com
Corbin Lindsey and will not be shared with any third party without the express written consent of the client.
Corbin Lindsey, Independent Agent

2712 179th PL NE, Marysville, WA 98271
Phone: (425) 280-9169 Email: corbin@lindseyadvisors.com

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Financial Profile (CLIENT PACKET)

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Meeting Agenda Est ate

6. Asset Protection FINANCIAL FOUNDATION

7. Estate Planning Review Current Plans, Goals, Priorities and Documents

E. Six Step Process

2. Data Gathering Date:

3. Critical Factor Analysis

If you have questions, or need to reset an appointment, please call us.

Do you have an agent, advisor or broker actually working FOR YOU?

Corbin Lindsey, Lindsey Financial Services

Ideal client, like you –

Who do you know who embodies those qualities and –

My clients also consist of professionals and business owners.

# Contact Name Phone # City Notes

Corbin Lindsey, Lindsey Financial Services

Corbin Lindsey, Lindsey Financial Services

Term / Perm Life 401K/403b/457/ IRA’s

PLEASE PROVIDE A COPY OF

LOANS / OBLIGATIONS Balance Rate Mo. Payment

Corbin Lindsey, Lindsey Financial Services

Corbin Lindsey, Lindsey Financial Services

Total Monthly Income Total

Expenses Company Int. Rate Balance Payment Budget Disabled???

Auto Loans Total

Long-Term Debt Total

Monthly Living Expenses Total

Corbin Lindsey, Lindsey Financial Services

Monthly Spending Total

Client Name: Date:

How much insurance do you own on your children $

Corbin Lindsey, Lindsey Financial Services

Does your employer sponsor a retirement plan? YES NO YES NO

Corbin Lindsey, Lindsey Financial Services

Cash Needs at time of death of: HUSBAND WIFE

Mortgage / Rent Payment Fund $ $

Debt Elimination Fund $ $

(A) TOTAL CASH NEEDS AT DEATH $ $

• Capital Depletion Method $ $

(B) TOTAL INCOME NEEDS AT DEATH $ $

(C) TOTAL FUNDS AVAILABLE $ $

(A) Cash Needs + (B) Income Needs – (C) Funds Available $ $

Corbin Lindsey, Lindsey Financial Services

Total Income Needs at Death $ $

NET RATE of RETURN

2.0% 2.5% 3% 3.5% 4% 4.5% 5% 5.5% 6% 6.5% 7% 7.5% 8%

Corbin Lindsey, Independent Agent

Corbin Lindsey, Independent Agent

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