Generic Life Insurance Needs Analysis Worksheet 2014-10
Generic Life Insurance Needs Analysis Worksheet 2014-10
Generic Life Insurance Needs Analysis Worksheet 2014-10
HOUSEHOLD LIABILITIES:
Mortgage Balance
Car Loans
Lines of Credit
Credit Cards
Final Expenses
Emergency Fund
SUB TOTAL $0 (A)
What percentage of your income do you wish to replace? 0% What percentage of your income do you wish to replace? 0%
Annual Income to Replace $ - Annual Income to Replace $ -
Subtract annual CPP/QPP survivor/orphan income benefits Subtract annual CPP/QPP survivor/orphan income benefits
Annual Income Shortage $ - Annual Income Shortage $ -
Number of years required (Age 65 - current age): 65 Number of years required (Age 65 - current age): 65
Income Replacement (Income x Percentage x years required) $ - Income Replacement (Income x Percentage x years required) $ -
(C) (D)
1
LIFE INSURANCE NEEDS ANALYSIS WORKSHEET
I currently own life insurance form all sources equal to I currently own life insurance form all sources equal to
My net need for life insurance as of today is $ - My net need for life insurance as of today is $ -
At this time I have decided to purchase additional coverage of At this time I have decided to purchase additional coverage of
I furthermore decline purchasing and acknowledge the shortfall of $ - I furthermore decline purchasing and acknowledge the shortfall of $ -
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Primary Client Name 0 Spouse Client Name 0
Broker Name
2
LIFE INSURANCE NEEDS ANALYSIS WORKSHEET
MEETING NOTES: