AUM Questionnaire

Name:*
SSN/DOB:*
Driver's License/exp. Date/State*
Types of Accounts:*
- Non-Retired
- IND
- Joint
- Retirement: Traditional
- Retirement: Roth
Transfer forms needed?*
- Yes
- No
For which accounts?*
Trusted Contact
Name:*
Email:*
Relationship:*
Phone:*
Address:*
Beneficiaries
Name:*
DOB:*
SSN:*
Share %:*
Annual Household Income from all sources:*
Estimated Net Worth (excluding primary residence):*
Liquid Net Worth (cash, stocks, bonds, etc.):*
Federal Income Tax Rate:*
- 15% or below
- 16-28%
- 29-35%
- over 35%
Primary Investment Objective:*
- Preservation of Capital
- Income
- Income and Growth
- Growth of Capital
- Aggressive Growth
Risk Tolerance:*
- Conservative (Riskalyze 1-30)
- Moderately Conservative (Riskalyze 31-46)
- Moderate (Riskalyze 47-62)
- Moderately Aggressive (Riskalyze 63-78)
- Aggressive (Riskalyze 79-99)
Time Horizon:*
- 0-4 years
- 5-9 years
- 10-12 years
- 13-16 years
- 17-20 years
General Investment Experience:*
- No Experience
- Minimal Experience
- Somewhat Experienced
- Highly Experienced
For each investment category below, check the box that represents the investors' level of knowledge (1 represents little or no knowledge and 5 represents highly knowledgeable):
Stocks:*
- 1
- 2
- 3
- 4
- 5
Options:*
- 1
- 2
- 3
- 4
- 5
Mutual Funds:*
- 1
- 2
- 3
- 4
- 5
Bonds:*
- 1
- 2
- 3
- 4
- 5
Variable Contracts:*
- 1
- 2
- 3
- 4
- 5
LLPs/LLCs:*
- 1
- 2
- 3
- 4
- 5

Contact Us

Phone: 304.702.6323
Email: Admin@EpicPlanning.net

Our Location

2809 Charles Town Road
Martinsburg, WV 25405
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Privacy Policy | Terms of Use | Disclosures

We are an independent financial services firm helping individuals create retirement strategies using a variety of investment and insurance products to custom suit their needs and objectives.

Investment advisory services offered only by duly registered individuals through AE Wealth Management, LLC (AEWM). AEWM and Epic Planning, LLC are not affiliated companies.

Investing involves risk, including the potential loss of principal. No investment strategy can guarantee a profit or protect against loss in periods of declining values. None of the information contained on this website shall constitute an offer to sell or solicit any offer to buy a security or any insurance product.

Any references to protection benefits or steady and reliable income streams on this website refer only to fixed insurance products. They do not refer, in any way, to securities or investment advisory products. Annuity guarantees are backed by the financial strength and claims-paying ability of the issuing insurance company. Annuities are insurance products that may be subject to fees, surrender charges and holding periods which vary by insurance company. Annuities are not FDIC insured.

The information and opinions contained in any of the material requested from this website are provided by third parties and have been obtained from sources believed to be reliable, but accuracy and completeness cannot be guaranteed. They are given for informational purposes only and are not a solicitation to buy or sell any of the products mentioned. The information is not intended to be used as the sole basis for financial decisions, nor should it be construed as advice designed to meet the particular needs of an individual’s situation. 649935 - 9/20

AUM Questionnaire

Trusted Contact

Beneficiaries

For each investment category below, check the box that represents the investors' level of knowledge (1 represents little or no knowledge and 5 represents highly knowledgeable):

Contact Us

Our Location