Legal Name
*
First Name
Last Name
Marital Status
*
Single
Divorced
Widowed
Married
Gender
*
Female
Male
Non-binary
Prefer not to specify
Date of Birth
*
MM
DD
YYYY
Email
*
Employment Status
*
Employed
Self-employed
Retired
Student
Not employed/Not applicable
Expected Retirement Age
*
Family and Friends
*
List anyone included in your gifting, beneficiaries, goals, etc..
Include NAME, DATE OF BIRTH, RELATIONSHIP to you, and a brief statement of how they fit into our financial plans.
Financial Priorities
*
Common priorities considers retirement planning, saving for major purposes, managing a budget, investment management, saving for college, minimizing taxes, appropriate insurance coverage, providing a legacy, caring for parents and contributing to charity.
Goal Expenses
*
Tell us about any goals such as education, travel, new home or home improvement, wedding, celebration, elder care or any others.
**Please include an approximate expense and timeframe per goal listed.**
Investment Accounts
*
For each investment account you currently have, please list:
(1) Investment account name
(2) Current value
(3) Annual contribution amounf ($ or %), and
(4) Approximate allocation of stocks, bonds, cash, etc.
Checking of Savings Accounts
*
Please note account type and approximate value.
Are you eligible for Social Security Benefits?
*
Yes
No
Unsure
Insurance Premiums
*
Please include Death Benefit and Cash Values information per plan when appropriate. You should include information on Group/Term Life Insurance, Cash Life Insurance, Disability Insurance, Long-term Care Insurance, Cash Value Life Insurance, or any other similar type of insurance.
Additional Information
Please let us know any other information you think we should know when creating your financial plan.
I AGREE
*
By clicking " I AGREE", I confirm that I am authorized to share this information with Open Trail Financial Consultants. I also acknowledge that by submitting this information, I am indicating that Open Trail Financial Consultants should reach out to proceed with creating a financial or retirement plan. Your information will be used for this purpose only.
I agree
Thank you! A representative from Open Trail Financial Consultants will be in touch with you soon. In the meantime, don’t forget to send us copies of your most recent loan and investment account statements for the most accurate plan results. You can submit these by:
EMAIL: general@opentrailfc.com with “SECURE” in the subject line.
FAX: 707.540.6330
MAIL: 111 Santa Rosa Ave, Suite 330, Santa Rosa, CA 95404