Needs Analysis Guide - Hesta · 2019. 12. 19. · Needs Analysis Guide - October 2019 Industry Fund Services Limited, ABN 54 007 016 195, AFSL No. 232 514

Client 1:

Client 2:

Completed:/ /

Adviser:

Financial PlanningNeeds Analysis Guide

Needs Analysis Guide - September 2020Industry Fund Services Limited, ABN 54 007 016 195, AFSL No. 232 514. © Industry Fund Services Limited

Why are you seeking advice?

What is happening in your life?

To help us provide you with advice that is personalised to your circumstances, we need to know what is currently happening in your life, and your plans for your future. Please list any upcoming events, goals or other important considerations that may have an impact on the advice we provide.

Now/Soon Future

Work

E.g. New job, promotion,retirement, reducing hours,increasing hours, career change,self-employment, and redundancy.

Family

E.g. Marriage, children,grandchildren, divorce / separation,education, children moving outof home, assisting adult childrenfinancially, caring for aging parents,inheritance, and legacy.

Lifestyle

E.g. New home, relocating,downsizing, upsizing, renovating,paying off home, travel /holidays, car, caravan, hobbies,sports, clubs, and communitycontribution.

Health

E.g. Health issues in the family,longevity in the family, and dealingwith illness.

Other

Any other events going on in your life that might need to be considered in your planning.

Industry Fund Services Limited 2

Part A - to be completed by you NEEDS ANALYSIS GUIDE

Tell us more about you

Personal Details

Client 1 Client 2

Gender: M F Other M F Other

Title: eg. Mr, Mrs, Ms, Miss, Dr eg. Mr, Mrs, Ms, Miss, Dr

Surname:

First Name:

Preferred Name(s):

Address:

State Postcode State Postcode

Home Owner Status: Own Outright Own with Mortgage Rent Other

Telephone

Home:

Work:

Mobile:

Email address:

Preferred Method of

Contact

Date of Birth: / / / /

Marital Status: Single Married Divorced Widowed Partner/ De facto Separated

Notes:



Family Members

Full Name Relationship AgeFinancially Dependent

Gender

1. Yes No

M F

2. Yes No

M F

3. Yes No

M F

4. Yes No

M F

5. Yes No

M F

6. Yes No

M F

Please provide details of any family member's advice and/or support needs.

Notes:



Employment

Income Details Client 1 Client 2

Employment:

Full-time

Part-time

Casual

Self Employed

Unemployed

Contractor

Home duties

Retired

Own company/Trust

Full-time

Part-time

Casual

Self Employed

Unemployed

Contractor

Home duties

Retired

Own company/Trust

Occupation:

Employer:

Commencement date: / / / /

Gross Salary (before tax):$

Frequency

$

Frequency

Current leave entitlements:

Sick Leave: Days

Annual Leave: Days

Long Service Leave: Days

Sick Leave: Days

Annual Leave: Days

Long Service Leave: Days

Pay slip provided Yes No Yes No

Planned Retirement Age/Date:

Age

/ /

Age

/ /

Second job

Occupation:

Gross Salary (before tax): $

Frequency

$

Frequency

Salary Packaging e.g. car, entertainment, mortgage. If no packaging please tick box

Item Amount Packaged OwnerRebatable Exempt

Please tick whichever is applicable

Notes:


Part A - to be completed by youNEEDS ANALYSIS GUIDE

CentrelinkClient 1 Client 2

Are you receiving Centrelink benefits: Yes No Yes No

Were you receiving this benefit as at 1/1/2015: Yes No Yes No

Benefit Type:

Benefit Amount per fortnight:

Name of Benefit

$ Amount

Name of Benefit

$ Amount

Name of Benefit

$ Amount

Name of Benefit

$ Amount

Have you made any gifts in the last 5 years?

Yes No Yes No

Amount: $

Date: / /

Amount: $

Date: / /

Amount: $

Date: / /

Amount: $

Date: / /

Do you receive or pay any child support payments?

Yes No

Details

Yes No

Details

Lifetime Pensions/ Other Income If no lifetime pension or other income please tick box

Client 1 Client 2

Lifetime pension:

Type Type

Amount $

Frequency

Taxable: Yes No

Amount $

Frequency

Taxable: Yes No

Other Income:

Type Type

Amount $

Frequency

Taxable: Yes No

Details

Amount $

Frequency

Taxable: Yes No

Details



Current Superannuation Funds Please provide current statements

Name of Super Fund(s):

Investment option(s):

Approximate Value: $ $ $

Employer Super Contributions (%):

%

Additional To / Included In Salary (circle as

applicable)

%


applicable)

%


applicable)

Current level of salary sacrificing to superannuation:

Commencement Date:

$

Frequency

$

Frequency

$

Frequency

/ / / / / /

Defined Benefit Plans – own contributions:

%

Pre Tax / Post Tax (circle as applicable)

%


%


Details of personal (after tax) superannuation contributions since 1 July 2018#:

#Information from 1 July 2018 is required to ensure that the “averaging” cap is not exceeded.

2018/19 2018/19 2018/19

2019/20 2019/20 2019/20

2020/21 2020/21 2020/21

Beneficiary Nomination Binding

Non-binding

None

Binding

Non-binding

None

Binding

Non-binding

None

Previous Lump Sum Withdrawals

Yes No Yes No Yes No

$ $ $

Have you rolled over or consolidated superannuation funds within the last three years?

Yes No

If yes, please provide details

If recommending carry forward concessional contributions please record prior concessional contributions here.



It is important you provide full details of your current and previous superannuation contributions for all your superannuation funds. If the information provided is incomplete or incorrect, this may cause contribution cap breaches, leading to significant taxation penalties for which your Adviser or Industry Fund Services limited will not be responsible for.

Client 1 If no super please tick box

Current Superannuation Funds Please provide current statements

Name of Super Fund(s):


Approximate Value: $ $ $

Employer Super Contributions (%):

%


applicable)

%


applicable)

%


applicable)

Current level of salary sacrificing to superannuation:

Commencement Date:

$

Frequency

$

Frequency

$

Frequency

/ / / / / /

Defined Benefit Plans – own contributions:

%


%


%


Details of personal (after tax) superannuation contributions since 1 July 2018#:

#Information from 1 July 2018 is required to ensure that the “averaging” cap is not exceeded.

2018/19 2018/19 2018/19

2019/20 2019/20 2019/20

2020/21 2020/21 2020/21

Beneficiary Nomination Binding

Non-binding

None

Binding

Non-binding

None

Binding

Non-binding

None

Previous Lump Sum Withdrawals

Yes No Yes No Yes No

$ $ $

Have you rolled over or consolidated superannuation funds within the last three years?

Yes No

If yes, please provide details

If recommending carry forward concessional contributions please record prior concessional contributions here.



It is important you provide full details of your current and previous superannuation contributions for all your superannuation funds. If the information provided is incomplete or incorrect, this may cause contribution cap breaches, leading to significant taxation penalties for which your Adviser or Industry Fund Services limited will not be responsible for.

Client 2 If no super please tick box

Income Streams (Annuities or Pensions) Please provide current statements

Client 1 If no income streams please tick box

Provider:


Reversionary or nominated beneficiary:

Reversionary pensioner

Binding nomination

Non-binding nomination

None


Binding nomination


None

Gross Income per annum ($):

Current Approximate Value ($):

Client 2 If no income streams please tick box

Provider:


Reversionary or nominated beneficiary:


Binding nomination


None


Binding nomination


None

Gross Income per annum ($):

Current Approximate Value ($):

Notes:



Cash, at call accounts, working accounts & term deposit investments Please provide current statements

Name of Investment (Bank, account type etc)

Owner Amount ($)

Rate (% pa.)

Term

Managed Funds, Direct Shares & Bond Investments Please provide current statements

If no managed funds or shares held please tick box

Name of InvestmentNo. of

Units/

SharesOwner

Estimated Value $ Income p.a. Re-invested ?

Yes No.

Yes No.

Yes No.

Yes No.

Notes:



Direct Investment Properties If no investment properties held please tick box

Property One Property Two Property Three

Location:

Owner:

Purchased:Price:

Date: / / / / / /

Current Est. Market Value ($):

Rental Income (Gross $):

per annum

Deductible Expenses/ Outgoings ($):

Depreciation per annum ($):

Notes:

Non Investment Assets

Assets Value Owner

Family Home: $

*Contents andPersonal Effects:

$

*Motor Vehicles: $

*Caravan/Boat/Trailer: $

Art/Antiques/Collectibles: $

Non-Investment Property (holiday home, vacant land):

$

Other: $

*Centrelink/ fire sale value



What do you owe? If no debt held please tick box

Client LenderTotal

amount owing

Term remaining

Interest Only or Principal and Interest

Rate %

p.a.

Payments ($)

Frequency

Home Mortgage

Client 1

Client 2

Joint.....

$ IO..

P&I

$ Weekly... Fortnightly

Monthly. Yearly.......

Offset Facility

Yes

No.Please provide details of your offset account on page 10

Redraw Facility

Yes

No.How much is available for redraw? 20 $

Investment Mortgage Property 1

Client 1

Client 2

Joint.....

$ IO..

P&I


Monthly. Yearly..

Security used:

Own home Investment property 1 Other ____________________________________________

Offset Facility

Yes



Client 1

Client 2

Joint.....

$ IO..

P&I


Monthly. Yearly..

Security used: Own home Investment property 2 Other ____________________________________________

Offset Facility

Yes



Client 1

Client 2

Joint.....

$ IO..

P&I


Monthly Yearly.

Security used:

Own home Investment property 3 Other ____________________________________________

Offset Facility

Yes




What do you owe? If no debt held please tick box

Client LenderTotal amount

owingTerm

remaining

Rate %

p.a.

Payments ($)

Frequency

Other Mortgage

Client 1

Client 2

Joint.....

$ $ Weekly.. . Fortnightly

Monthly Yearly........

Car Loan(s)

Client 1

Client 2

Joint.....

$ $ Weekly... Fortnightly

Monthly Yearly.....Balloon payment

$

Car Lease(s)

Client 1

Client 2

Joint.....

$ $

Weekly... Fortnightly

Monthly Yearly.....Balloon payment

$

Personal Loan(s)

Client 1

Client 2

Joint.....


Monthly Yearly......

Credit Card(s)

Client 1

Client 2

Joint.....

Limit $ Repaid monthly:

Yes

No.

$

Weekly... Fortnightly

Monthly Yearly.Outstanding balance $

Margin Loan(s)

Client 1

Client 2

Joint.....


Monthly Yearly.......

Security used:

Notes:

In the notes section below, please list the following information, or any information about additional liabiliites that is relevant for us to know, but is not captured above:

- Guarantor - Whether loan repayments are in excess of the minimum required - Expiry dates for fixed loans



Health Client 1 Client 2

Your health: 1. Poor 3. Good

2. Fair 4. Excellent

1. Poor 3. Good

2. Fair 4. Excellent

Smoker: Yes No Yes No

Do you have Private Health Insurance? Yes No Yes No

Does this include hospital cover? Yes No Yes No

Please provide comments in relation to your health including if your family have a history of any genetic medical issues or if longevity runs in your family:

Notes



Personal Insurance Please provide copies of your latest insurance coverage e.g. your latest annual statement from your super fund or your policy documents from your insurance provider.

Income Protection Cover If no Income Protection Cover held please tick box

Insured Insurance Provider Via Super?Monthly Benefit

Waiting Period

Benefit Period

Annual Premium

Yes No

Yes No

Yes No

Lump Sum Cover If no Lump Sum Cover held please tick box

Please indicate whether cover is Life, TPD, Life/ TPD or Trauma

Type of Cover

Insured Insurance Provider Via Super? Sum Insured Annual Premium

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Estate Planning Client 1 Client 2

Do you have a Will? Yes No Yes No

If applicable, are your Wills up to date? Yes No Yes No

Do you have Power of Attorney (POA)? Yes No Yes No

Do you have Medical Power of Attorney? Yes No Yes No

Do you have Enduring Power of Attorney? Yes No Yes No

If applicable, are your POAs up to date? Yes No Yes No

Notes



• How confident are you in making decisions regarding your finances?

Not confident at all Somewhat confident Very confident

Notes:

• In the past, what have you relied on to make decisions in relation to your finances? (tick all that apply)

Friends/ Family Media Books Professional Adviser Own Research

Notes:

• Have you received financial advice previously? If yes please detail below.

Yes No

Notes:

• How comfortable are you in taking risks with money?

Not comfortable Somewhat comfortable Very comfortable

Notes (including any previous investment experiences):

Getting to know your approach to making financial decisions


NEEDS ANALYSIS GUIDE

This is the end of Part A. Part B of the Needs Analysis will be completed with your Financial Adviser at your initial meeting. However, if there is anything else you want to tell us that has not already been covered, please include below.



Industry Fund Services LimitedABN 54 007 016 195, AFSL No. 232 514.

© Industry Fund Services Limited FP_N

AG

_ 09

20

Documents

Needs Analysis Guide - Hesta · 2019. 12. 19. · Needs Analysis Guide - October 2019 Industry Fund Services Limited, ABN 54 007 016 195, AFSL No. 232 514