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Family Information:
HEAD 1

HEAD 2

Name: _________________________________________

Name: ___________________________________________________

Date of Birth: ________________

Date of Birth: ________________

SIN: ______________________

Month /Day/Year.

SIN: _______________________

Month /Day/Year.

Street Address: ____________________________________________

Street Address: ____________________________________________

City:_____________________________________________________

City:_____________________________________________________

Province: ________________Postal Code: _______________________

Province: ________________Postal Code: _______________________

Home Phone: #____________________________________________

Home Phone: #____________________________________________

Occupation: _______________________________________________

Occupation: _______________________________________________

Employer: ________________________________________________

Employer: ________________________________________________

Business Phone: # _________________________________________

Business Phone: # _________________________________________

Children / Dependants

(Persons financially dependent i.e. children, parents, others)

Child Name or Dependant #1: ________________________________

Child Name or Dependant #2: ________________________________

Date of Birth: ______________________________________________

Date of Birth: _____________________________________________

Month/Day/Year.
Gender:

Male

Female

Month/Day/Year.
Gender:

Male

Female

Age to Start Post Secondary School: ___________________________

Age to Start Post Secondary School: __________________________

Education Goal: ___________________________________________

Education Goal: ___________________________________________

Estimated Annual Education cost _____________________________

Estimated Annual Education cost ____________________________

CESG claimed $______________ CESG carry forward $___________

CESG claimed $_____________ CESG carry forward $___________

Child Name or Dependant #3: ________________________________

Child Name or Dependant #4: ________________________________

Date of Birth: ______________________________________________

Date of Birth: ______________________________________________

Month/Day/Year.
Gender:

Male

Female

Month/Day/Year.
Gender:

Male

Female

Age to Start Post Secondary School: __________________________

Age to Start Post Secondary School: __________________________

Education Goal: ___________________________________________

Education Goal: ___________________________________________

Estimated Annual Education cost _____________________________

Estimated Annual Education cost ____________________________

CESG claimed $______________ CESG carry forward $___________

CESG claimed $_____________ CESG carry forward $___________

Professional Advisors
Lawyer: __________________________________________________

Lawyer: _ _________________________________________________

Accountant: _______________________________________________

Accountant: ______________________________________________

Who has your Power of Attorney:______________________________

Who has your Power of Attorney:______________________________

Do you have a Will? ________________________________________

Do you have a Will?_________________________________________

Date Will Last updated: ______________________________________

Date Will Last updated: _____________________________________

Location of Will: ___________________________________________

Location of Will: ___________________________________________

Ed Madro – Investors Group Financial Services Inc./ B2B Bank Securities Ltd. (403) 220-9654.
Cash Flow Analysis:
EXPENSES

Lifestyle Monthly Expenses
Housing Costs

Personal

Rent / Mortgage

______________________

Clothing

______________________

Property Taxes

______________________

Dining Out

______________________

Insurance

______________________

Gifts

______________________

Utilities / Phone / Internet

_______________________

Hobbies

______________________

Repairs / Maintenance

_______________________

Insurance Premiums

______________________

Misc. / Other

______________________

2nd Property

_______________________

$ _______________________

Total Housing

Total Personal

$ ______________________

(Food, Toiletries, Personal items, etc.)

$_______________________

Groceries

(Movies, T

$_______________________

Entertainment
Education

Transportation Costs

Tuition

______________________

Gas / Fuel

______________________

Books

______________________

Insurance

______________________

Rent

______________________

Repairs / Parking

______________________

Lifestyle Expenses

______________________

Other

______________________

Total Education Expenses

Total Transportation

$_______________________

$ _______________________

Tax-Related Monthly Expenses
HEAD 1

HEAD 2

HEAD 1

HEAD 2

Charitable Donations

$_______________

$_______________

RPP – Contributions

$_______________

$______________

Medical / Dental Expenses

$_______________

$_______________

Child Care

$_______________

$______________

Regular Monthly Savings
HEAD 1

HEAD 2

Registered Savings

________________

Registered Savings

________________

Non-Registered Savings

________________

Non-Registered Savings

________________

Education Savings Plans

________________

Education Savings Plans

________________

Ed Madro – Investors Group Financial Services Inc./ B2B Bank Securities Ltd. (403) 220-9654.
Total

$________________

Total

$________________

Semi-Regular Expenses
I plan to upgrade my automobile every: ________years.

I plan to upgrade my automobile every: ________years.

I usually spend approx. $ ___________ for the upgrade.

I usually spend approx. $ ___________ for the upgrade.

I plan to wait: ________ years before my next car upgrade.

I plan to wait: ________ years before my next car upgrade.

I plan to take vacation every: _________________________.

I plan to take vacation every: ___________________________.

I usually spend approx. $_______________for vacation.

I usually spend approx. $_______________ for vacation.

My next vacation will be: ____________________________.

My next vacation will be: _____________________________.

Major Planned Expense
Description of Expense________________________________

Description of Expense________________________________

I expect to spend approx. $ ___________________ on the item.

I expect to spend approx. $ ___________________ on the item.

Purchase Date or Year _________________

Purchase Date or Year _________________

Start Savings Year _______________________ if available

Start Savings Year _______________________ if available

End Savings Year _______________________ if available

End Savings Year _______________________ If available

Monthly Income:

Ed Madro – Investors Group Financial Services Inc./ B2B Bank Securities Ltd. (403) 220-9654.
HEAD 2

HEAD 1

Pre-Retirement Income

Pre-Retirement Income

Salaries

$___________

Self Employed

$___________

Salaries

$___________

Dividends from Corp.

$___________

Self Employed

$___________

Rental Income

$___________

Dividends from Corp.

$___________

Alimony/Child Support

$___________

Rental Income

$___________

Other

$___________

Alimony/Child Support

$___________

Other

$___________

(Bonuses/Gifts/Inheritance/Misc.)

(Bonuses/Gifts/Inheritance/Misc.)

Income in Retirement

Income in Retirement
Pension/CPP/OAS

$___________

Pension/CPP/OAS

$___________

Dividends From Corp.

$___________

Dividends From Corp.

$___________

Rental Income

$___________

Rental Income

$___________

RRIF

$___________

RRIF

$___________

Capital Gains

$___________

Capital Gains

$___________

Annuity Income

$___________

Annuity Income

$___________

Other

$___________

Other

$___________

(Bonuses/Gifts/Inheritance/Misc.)

(Bonuses/Gifts/Inheritance/Misc.)

NOTES: WHAT DO YOU WANT TO DO?

Goals and Concerns Card
To help us clearly understand your current financial situation, please take a moment to read through this list.
Please rank the 3 areas most important to you.
( 1 = Most Important, 3 = Least Important )

Ed Madro – Investors Group Financial Services Inc./ B2B Bank Securities Ltd. (403) 220-9654.
General Investments and Financial Planning

Saving for a Major Purchase

______Learning to manage money

______Leisure activities (travel, RV, boat, etc.)

______Learning to invest wisely

______Purchasing a home or cottage

______Paying off debts/mortgage

______Purchasing a new vehicle

______Staying ahead of the cost of living

______Owning my own business

______Analyzing the asset allocation of my investments

Education Planning
Planning For Emergencies

______Paying for my child’s/grandchild’s education

______Developing a financial reserve

______Taking advantage of the Canadian Education Savings Grant

______Income protection against death, disability or critical illness
______Surviving possible unemployment

Retirement Planning

______Insuring my mortgage or other liabilities

______Developing a retirement plan
______Retiring early and comfortably

Estate Planning

______Ensuring my funds last through retirement

______Review my current will and estate plan

______Maximizing foreign content exposure

______Preserve my estate for beneficiaries

______Reviewing my current investment strategies

______Charitable Giving

Other
Tax Planning

______________________________________________________

______Reduce my Income Taxes

______________________________________________________

______Tax Review

______________________________________________________

Notes:
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________

Ed Madro – Investors Group Financial Services Inc./ B2B Bank Securities Ltd. (403) 220-9654.
General Investments and Financial Planning

Saving for a Major Purchase

______Learning to manage money

______Leisure activities (travel, RV, boat, etc.)

______Learning to invest wisely

______Purchasing a home or cottage

______Paying off debts/mortgage

______Purchasing a new vehicle

______Staying ahead of the cost of living

______Owning my own business

______Analyzing the asset allocation of my investments

Education Planning
Planning For Emergencies

______Paying for my child’s/grandchild’s education

______Developing a financial reserve

______Taking advantage of the Canadian Education Savings Grant

______Income protection against death, disability or critical illness
______Surviving possible unemployment

Retirement Planning

______Insuring my mortgage or other liabilities

______Developing a retirement plan
______Retiring early and comfortably

Estate Planning

______Ensuring my funds last through retirement

______Review my current will and estate plan

______Maximizing foreign content exposure

______Preserve my estate for beneficiaries

______Reviewing my current investment strategies

______Charitable Giving

Other
Tax Planning

______________________________________________________

______Reduce my Income Taxes

______________________________________________________

______Tax Review

______________________________________________________

Notes:
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________

Ed Madro – Investors Group Financial Services Inc./ B2B Bank Securities Ltd. (403) 220-9654.

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Worksheet - Cash Flow Analysis

  • 1. Family Information: HEAD 1 HEAD 2 Name: _________________________________________ Name: ___________________________________________________ Date of Birth: ________________ Date of Birth: ________________ SIN: ______________________ Month /Day/Year. SIN: _______________________ Month /Day/Year. Street Address: ____________________________________________ Street Address: ____________________________________________ City:_____________________________________________________ City:_____________________________________________________ Province: ________________Postal Code: _______________________ Province: ________________Postal Code: _______________________ Home Phone: #____________________________________________ Home Phone: #____________________________________________ Occupation: _______________________________________________ Occupation: _______________________________________________ Employer: ________________________________________________ Employer: ________________________________________________ Business Phone: # _________________________________________ Business Phone: # _________________________________________ Children / Dependants (Persons financially dependent i.e. children, parents, others) Child Name or Dependant #1: ________________________________ Child Name or Dependant #2: ________________________________ Date of Birth: ______________________________________________ Date of Birth: _____________________________________________ Month/Day/Year. Gender: Male Female Month/Day/Year. Gender: Male Female Age to Start Post Secondary School: ___________________________ Age to Start Post Secondary School: __________________________ Education Goal: ___________________________________________ Education Goal: ___________________________________________ Estimated Annual Education cost _____________________________ Estimated Annual Education cost ____________________________ CESG claimed $______________ CESG carry forward $___________ CESG claimed $_____________ CESG carry forward $___________ Child Name or Dependant #3: ________________________________ Child Name or Dependant #4: ________________________________ Date of Birth: ______________________________________________ Date of Birth: ______________________________________________ Month/Day/Year. Gender: Male Female Month/Day/Year. Gender: Male Female Age to Start Post Secondary School: __________________________ Age to Start Post Secondary School: __________________________ Education Goal: ___________________________________________ Education Goal: ___________________________________________ Estimated Annual Education cost _____________________________ Estimated Annual Education cost ____________________________ CESG claimed $______________ CESG carry forward $___________ CESG claimed $_____________ CESG carry forward $___________ Professional Advisors Lawyer: __________________________________________________ Lawyer: _ _________________________________________________ Accountant: _______________________________________________ Accountant: ______________________________________________ Who has your Power of Attorney:______________________________ Who has your Power of Attorney:______________________________ Do you have a Will? ________________________________________ Do you have a Will?_________________________________________ Date Will Last updated: ______________________________________ Date Will Last updated: _____________________________________ Location of Will: ___________________________________________ Location of Will: ___________________________________________ Ed Madro – Investors Group Financial Services Inc./ B2B Bank Securities Ltd. (403) 220-9654.
  • 2. Cash Flow Analysis: EXPENSES Lifestyle Monthly Expenses Housing Costs Personal Rent / Mortgage ______________________ Clothing ______________________ Property Taxes ______________________ Dining Out ______________________ Insurance ______________________ Gifts ______________________ Utilities / Phone / Internet _______________________ Hobbies ______________________ Repairs / Maintenance _______________________ Insurance Premiums ______________________ Misc. / Other ______________________ 2nd Property _______________________ $ _______________________ Total Housing Total Personal $ ______________________ (Food, Toiletries, Personal items, etc.) $_______________________ Groceries (Movies, T $_______________________ Entertainment Education Transportation Costs Tuition ______________________ Gas / Fuel ______________________ Books ______________________ Insurance ______________________ Rent ______________________ Repairs / Parking ______________________ Lifestyle Expenses ______________________ Other ______________________ Total Education Expenses Total Transportation $_______________________ $ _______________________ Tax-Related Monthly Expenses HEAD 1 HEAD 2 HEAD 1 HEAD 2 Charitable Donations $_______________ $_______________ RPP – Contributions $_______________ $______________ Medical / Dental Expenses $_______________ $_______________ Child Care $_______________ $______________ Regular Monthly Savings HEAD 1 HEAD 2 Registered Savings ________________ Registered Savings ________________ Non-Registered Savings ________________ Non-Registered Savings ________________ Education Savings Plans ________________ Education Savings Plans ________________ Ed Madro – Investors Group Financial Services Inc./ B2B Bank Securities Ltd. (403) 220-9654.
  • 3. Total $________________ Total $________________ Semi-Regular Expenses I plan to upgrade my automobile every: ________years. I plan to upgrade my automobile every: ________years. I usually spend approx. $ ___________ for the upgrade. I usually spend approx. $ ___________ for the upgrade. I plan to wait: ________ years before my next car upgrade. I plan to wait: ________ years before my next car upgrade. I plan to take vacation every: _________________________. I plan to take vacation every: ___________________________. I usually spend approx. $_______________for vacation. I usually spend approx. $_______________ for vacation. My next vacation will be: ____________________________. My next vacation will be: _____________________________. Major Planned Expense Description of Expense________________________________ Description of Expense________________________________ I expect to spend approx. $ ___________________ on the item. I expect to spend approx. $ ___________________ on the item. Purchase Date or Year _________________ Purchase Date or Year _________________ Start Savings Year _______________________ if available Start Savings Year _______________________ if available End Savings Year _______________________ if available End Savings Year _______________________ If available Monthly Income: Ed Madro – Investors Group Financial Services Inc./ B2B Bank Securities Ltd. (403) 220-9654.
  • 4. HEAD 2 HEAD 1 Pre-Retirement Income Pre-Retirement Income Salaries $___________ Self Employed $___________ Salaries $___________ Dividends from Corp. $___________ Self Employed $___________ Rental Income $___________ Dividends from Corp. $___________ Alimony/Child Support $___________ Rental Income $___________ Other $___________ Alimony/Child Support $___________ Other $___________ (Bonuses/Gifts/Inheritance/Misc.) (Bonuses/Gifts/Inheritance/Misc.) Income in Retirement Income in Retirement Pension/CPP/OAS $___________ Pension/CPP/OAS $___________ Dividends From Corp. $___________ Dividends From Corp. $___________ Rental Income $___________ Rental Income $___________ RRIF $___________ RRIF $___________ Capital Gains $___________ Capital Gains $___________ Annuity Income $___________ Annuity Income $___________ Other $___________ Other $___________ (Bonuses/Gifts/Inheritance/Misc.) (Bonuses/Gifts/Inheritance/Misc.) NOTES: WHAT DO YOU WANT TO DO? Goals and Concerns Card To help us clearly understand your current financial situation, please take a moment to read through this list. Please rank the 3 areas most important to you. ( 1 = Most Important, 3 = Least Important ) Ed Madro – Investors Group Financial Services Inc./ B2B Bank Securities Ltd. (403) 220-9654.
  • 5. General Investments and Financial Planning Saving for a Major Purchase ______Learning to manage money ______Leisure activities (travel, RV, boat, etc.) ______Learning to invest wisely ______Purchasing a home or cottage ______Paying off debts/mortgage ______Purchasing a new vehicle ______Staying ahead of the cost of living ______Owning my own business ______Analyzing the asset allocation of my investments Education Planning Planning For Emergencies ______Paying for my child’s/grandchild’s education ______Developing a financial reserve ______Taking advantage of the Canadian Education Savings Grant ______Income protection against death, disability or critical illness ______Surviving possible unemployment Retirement Planning ______Insuring my mortgage or other liabilities ______Developing a retirement plan ______Retiring early and comfortably Estate Planning ______Ensuring my funds last through retirement ______Review my current will and estate plan ______Maximizing foreign content exposure ______Preserve my estate for beneficiaries ______Reviewing my current investment strategies ______Charitable Giving Other Tax Planning ______________________________________________________ ______Reduce my Income Taxes ______________________________________________________ ______Tax Review ______________________________________________________ Notes: _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ Ed Madro – Investors Group Financial Services Inc./ B2B Bank Securities Ltd. (403) 220-9654.
  • 6. General Investments and Financial Planning Saving for a Major Purchase ______Learning to manage money ______Leisure activities (travel, RV, boat, etc.) ______Learning to invest wisely ______Purchasing a home or cottage ______Paying off debts/mortgage ______Purchasing a new vehicle ______Staying ahead of the cost of living ______Owning my own business ______Analyzing the asset allocation of my investments Education Planning Planning For Emergencies ______Paying for my child’s/grandchild’s education ______Developing a financial reserve ______Taking advantage of the Canadian Education Savings Grant ______Income protection against death, disability or critical illness ______Surviving possible unemployment Retirement Planning ______Insuring my mortgage or other liabilities ______Developing a retirement plan ______Retiring early and comfortably Estate Planning ______Ensuring my funds last through retirement ______Review my current will and estate plan ______Maximizing foreign content exposure ______Preserve my estate for beneficiaries ______Reviewing my current investment strategies ______Charitable Giving Other Tax Planning ______________________________________________________ ______Reduce my Income Taxes ______________________________________________________ ______Tax Review ______________________________________________________ Notes: _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ Ed Madro – Investors Group Financial Services Inc./ B2B Bank Securities Ltd. (403) 220-9654.