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Financial Goals Questionnaire - Mennenga Tax & Financial Service

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Name: ________________________________________<br />

Your <strong>Tax</strong> & <strong>Financial</strong> Check-up is scheduled with<br />

on<br />

,<br />

, at<br />

(day of week) (date) (time)<br />

Please bring the following items with you to the appointment:<br />

• Recent pay stubs<br />

• Recent copy of your 401(k) or other company retirement statements<br />

• Recent copy of your IRA statements<br />

• Copies of recent brokerage, mutual fund and annuity statements<br />

• Copy of most recent tax return, if not prepared by <strong>Mennenga</strong> <strong>Tax</strong><br />

• Recent Social Security Statement<br />

• Recent Pension Statement<br />

Please answer these questions prior to your appointment.<br />

1. What are your primary financial goals?<br />

A.<br />

B.<br />

2. What issues can we work on together?<br />

A.<br />

B.<br />

Registered Representatives*: Betty <strong>Mennenga</strong>, Michael Swenson, Shannon Fredricksen, Katie Keehn, Andrea Hartwig, Jackie Morin<br />

*Securities offered through Woodbury <strong>Financial</strong> <strong>Service</strong>s, Inc. Member FINRA, SIPC<br />

Investment Advisor Representatives**: Marshall <strong>Mennenga</strong>, Rosemary Kleinheinz, Kenneth Wundrow,<br />

Lloyd <strong>Mennenga</strong>, Tony <strong>Mennenga</strong>, Richard Blatter<br />

**Securities and Investment Advisory <strong>Service</strong>s offered through Woodbury <strong>Financial</strong> <strong>Service</strong>s, Inc. Member FINRA, SIPC and Registered Investment<br />

Advisor. <strong>Mennenga</strong> <strong>Tax</strong> & <strong>Financial</strong> and Woodbury <strong>Financial</strong> <strong>Service</strong>s are not affiliated entities.<br />

.


<strong>Financial</strong> <strong>Goals</strong> <strong>Questionnaire</strong><br />

_______________________________________________ ____________________<br />

Name Business Phone (s)<br />

_______________________________________________ ____________________<br />

Spouse Name Home Phone<br />

In order for our firm to better serve you as your financial professional, it is important that we have a clear understanding<br />

of your most important financial goals. Please take a few moments to complete the following questionnaire.<br />

Yes No I am (We are) interested in:<br />

Preparing an adequate college fund for our children or grandchildren.<br />

Minimizing the taxes we pay on our income and investments.<br />

Retiring comfortably at age _____.<br />

Saving for a major purchase______________________.(e.g. home, auto or vacation)<br />

Making certain our family is financially secure in case of the untimely death of the key financial provider(s).<br />

Making certain our family is financially secure in case of the untimely disability of the key financial provider(s).<br />

Maximizing the inheritance our family will receive by minimizing state and federal estate taxes.<br />

Building a contingency fund to cover financial emergencies.<br />

Other ______________________________________________________________________.<br />

We are currently using the following investment instruments to achieve our financial goals: (please check all that apply)<br />

Bank Savings Account Certificate of Deposit US Savings Bonds<br />

Life Insurance Disability Insurance Variable Annuity<br />

Individual Bonds Individual Stocks Money Market Fund<br />

Bond Mutual Fund Equity Mutual Fund Managed Account<br />

Company 401K Plan Company Pension Plan Other__________________<br />

Completing this questionnaire places you under no obligation to use our financial services, and the information obtained<br />

here will remain in strictest confidence.<br />

I would like to have someone contact me for an appointment to discuss my financial goals.<br />

I will call to set up an appointment.<br />

Registered Representatives*: Betty <strong>Mennenga</strong>, Michael Swenson, Shannon Fredricksen, Katie Keehn, Andrea Hartwig, Jackie Morin<br />

*Securities offered through Woodbury <strong>Financial</strong> <strong>Service</strong>s, Inc. Member FINRA, SIPC<br />

Investment Advisor Representatives**: Marshall <strong>Mennenga</strong>, Rosemary Kleinheinz, Kenneth Wundrow,<br />

Lloyd <strong>Mennenga</strong>, Tony <strong>Mennenga</strong>, Richard Blatter<br />

**Securities and Investment Advisory <strong>Service</strong>s offered through Woodbury <strong>Financial</strong> <strong>Service</strong>s, Inc. Member FINRA, SIPC and Registered Investment<br />

Advisor. <strong>Mennenga</strong> <strong>Tax</strong> & <strong>Financial</strong> and Woodbury <strong>Financial</strong> <strong>Service</strong>s are not affiliated entities.

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