Engarde Financial Group
Financial Intake Form

Fact Finder

Please complete each section. Financial totals are calculated automatically as you enter amounts. Your information is saved to your contact record, and a PDF copy is generated on submission.

Engarde Financial Group

1

Personal Information

Client #2
Children
Number of Children0
2

Contact Information

3

Property Information

Add a separate entry for each property. These values are not counted as assets or liabilities unless you also enter them in those sections.

Entry 1
$
$
$
Entry 2
$
$
$
4

Employment Information

Separate employment details for the primary client and Client #2, plus any business or entity questions.

$
$
Client #2 Employment
$
$
Business / Entity Questions
Total Monthly Income from All Sources

Total Monthly Income = (Primary Annual Income ÷ 12) + (Client #2 Annual Income ÷ 12, if provided) + all other monthly income sources. Tax refunds, retirement contributions, and asset balances are not included unless listed above as a monthly source.

Total Monthly Income from All Sources$0.00
5

Monthly Expenses

Enter each expense directly as a monthly amount.

$
$
$
$
$
$
$
$
$
Total Expenses$0.00
Discretionary Income (Total Monthly Income − Total Expenses)$0.00
6

Assets

Estimated property values are not added automatically; you may include property value under Real Estate Holdings if appropriate.

$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Total Assets$0.00
7

Liabilities

$
$
$
$
$
Total Liabilities$0.00
Net Worth (Total Assets − Total Liabilities)$0.00
8

Insurance

Life Insurance

$

Disability Insurance

$

Long Term Care Insurance

$

Health Insurance

$

Other

$
9

Trust

Trust date fields appear only if you indicate a trust exists.

10

Personal and Financial Goals

11

Objectives

On a scale of 1–5, with 1 being the highest importance, what are your greatest areas of interest? (1 = highest importance, 5 = lowest importance)

Retirement Planning
College Savings
Estate Planning
Business Needs
Long Term Care
Mortgage Protection
Disability Income Protection
Investment/Cash Accumulation Strategies
Debt Elimination vs. Asset Accumulation (analyze the net cost of borrowing vs. the return on investment)
12

Tax Diversification

$
$

Select the option that best reflects your preference, then explain if you'd like.

13

Additional Notes

Your responses are saved to your contact record when submitted.