CPASLLC - Financial Checkup

Your Trusted Advisors

Experience and Trust.

At Cornerstone, our concern is for your overall financial well-being.

We want your financial world to provide you with peace of mind and be certain your significant financial issues are properly addressed. Answering the questions below and returning this questionnaire to us will help us identify and better serve your needs.

Please answer the following on a 1 to 10 scale, with 1 being the lowest, 10 the highest, and click "submit" to return the questionnaire electronically using secure SSL technology to ensure your privacy. If you prefer, you can return this survey by fax, regular mail or, visit one of our personal financial advisors at any of our offices. Or just call us with any questions or concerns you may have about these issues.

1. About your overall financial health and well-being?

2. That your future financial needs will be met?

a) Education and college funding needs for you or your children

b) Long-term wealth accumulation

c) Retirement income and financial longevity

d) Current income and wealth preservation

3. That your money is being managed and rebalanced in a way that

maximizes your return consistent with your risk tolerance?

4. About how well your investment advisor understands your needs

and concerns, and has formulated a strategy that feels right for you?

5. About the ongoing performance communications,

reports and information you receive about your investments?

6. That your current life insurance profile fulfills your present needs

and provides adequate financial resources to your beneficiaries.

7. What other thoughts, issues or concerns do you have

about your financial health and well-being? (Briefly describe your concerns below.)

a) For example, have you ever thought about what would happen to your family

if you were no longer able to support them because of a disabling injury

or unexpected death?

b) Are your family's assets protected against...

1) Nursing home care costs?

2) Estate taxes, including your "home state" estate tax burden?

c) Is your will up-to-date taking advantage of all current opportunities?

d) Do you have concerns about debt, and/or debt consolidation?

e) Are your IRA and retirement plan beneficiary designations up-to-date?

f) Do you have any unneeded, unwanted or unaffordable life insurance policies?

For Business Owners Only:

A. That your health insurance costs are under control, and you have adopted

the most advantageous plan providing benefits at the lowest cost possible.

B. That your business succession plan and shareholder agreements

are up-to-date and reflect current circumstances.

C. About your disability insurance coverage and key man insurance provisions.

D. About your business retirement plans (profit sharing, 401(k) or others)

are fulfilling your long-term desires.

Name:

Telephone:

Best Time To Call:

Email Address:

Your Advisor (if applicable):

Take our Free, No Obligation, Financial Check-Up to find out...

Are You Prepared?

Wealth Building · Retirement Planning · Business Succession Planning · Insurance Needs · Financial Strategies for Education · Estate Planning · Mortgage & Refinancing Options