Financial Needs Analysis

Financial Independence Number (FIN)

0. Current Age

Current Age

1. At what age do you want to retire?

Target Retirement Age

2. What dreams will you fulfill? 3. Monthly income needed for these dreams?

Monthly Income Goal ($)

4. Years in retirement (Planning to age 90)

Retirement Horizon (Years)

Total Gross FIN Number ($)

5. Saved so far (401k, IRA, Accounts)

Current Retirement Assets ($)

Net Savings Gap ($)

6. Years left to work/save

Working Years Remaining

Monthly Requirement to Close Gap ($)

Current monthly savings?

Actual Amount Saved Monthly ($)

Protection Needs (DIME)

Debt: Total non-mortgage liabilities

Total Debt ($)

Income: 10x Annual Income Replacement

Annual Income ($)

Income Replacement Fund ($)

Mortgage: Total balance to pay off home

Mortgage Balance ($)

Education: College fund for children

Education Fund ($)

Total Protection Need ($)

Current Life Insurance in force

Existing Coverage ($)

ACTUAL LIFE INSURANCE NEEDS (DIME) ($)

Reflections/Notes:

Client Profile

Client Name

DOB

Phone #

Smoker? (Y/N)

Spouse Profile

Spouse Name

DOB

Phone #

Smoker? (Y/N)

Child Count:

Income & Complete Monthly Expenses

Client Monthly (Gross)

Spouse Monthly (Gross)

COMBINED INCOME ($)

Mortgage/Rent		Auto & Trans
Utilities		Food & Groceries
Mobile Bill		Child Care
Car Insurance		Household Maint
Life Insurance		Personal Exp
Health Insurance		Shopping
Subscriptions		Entertainment
Investments		Debt & Loans
Charity & Gifts		Miscellaneous
TOTAL EXPENSES

Complete Asset Inventory

Asset Item	Asset Item	Asset Item
Savings/Checking	IRAs	Roth IRAs
CDs/Treasuries	401(k)/403(b)/Pension	Cash Value Life Ins
Mutual Funds/Stocks	Annuities	529/College Savings
Bonds/Other	Other Assets	Other Assets
TOTALS

Retirement & DIME (Synced)

Anticipated Ret. Age

Ret. Income Goal ($)