N NPPSS
Progress saved
Confidential Client Intake

Your Wealth Assessment

This gathers the financial picture your advisor needs to spot opportunities across your retirement, taxes, estate, and charitable goals. Complete what you can — you'll fill in the rest together, and anything optional can be left blank.

One section at a timeShort, plain-language groups — no giant form to scroll. Skip anything that doesn't apply.
Your progress saves itselfStep away anytime and pick up right where you left off.
Held in strict confidenceYour answers go straight to your advisor — no one else.
I Family Profile

First, a little about you.

The basics, so your advisor knows who they're planning for.

I Family Profile

Your household.

Spouse or partner, your address, and anyone who depends on you. Skip whatever doesn't apply.

Spouse / Partner (if applicable)
Home address
Children / dependents (optional)
II Income & Employment

What's coming in?

If you're self-employed or a business owner, just estimate take-home or net business income — you'll sort out details together.

You
$
$
$
$

Find your Social Security estimate at ssa.gov/myaccount, or leave it blank.

Spouse / Partner (if applicable)
$
$
II Retirement Income Picture

Your retirement picture.

Fill in only what you already know — no need to calculate anything. You'll estimate the rest together.

$
$
V–VII Your Accounts

Where is your money today?

Add the accounts you have in each bucket — type, a rough balance, and (if handy) annual contributions and whose it is. Add as many or few as you like.

Taxable accounts
CDs, brokerage, mutual funds, stocks, bonds, savings.
Tax-deferred accounts
401(k), 403(b), IRA, SEP, pension rollover — taxed when you withdraw.
Tax-free accounts
Roth IRA, Roth 401(k), HSA, 529 plans.
IV Protected Income

Pensions & annuities.

Only if you have a pension or annuity. "Survivor %" is how much your spouse keeps if you pass first (often 50% or 100%). "COLA" is an annual cost-of-living raise, if any. Unsure? Leave it blank.

XI–XII Property, Debts & Cash Needs

Property, debts & cash needs.

What you own, what you owe, and how much you'd like accessible.

Property & mortgage
Home and any other real estate.
Current liabilities (optional)
Auto, personal & college loans, credit cards.
How much, and when, will you need it?
$
$
$
IX–X Healthcare & Insurance

How are you protected?

Your plan for healthcare and long-term care, and any life insurance you carry.

$
Life insurance
Add each policy below. Cash value & loans apply only to permanent policies — leave blank for term.
III Beneficiary Information

Who inherits your accounts & policies?

The people or organizations named on your accounts and policies. Add as many as apply.

XIII–XVI Goals, Giving & Inheritance

What matters most to you?

This is the part that makes the plan yours.

Charitable giving
Inheritance
$
XVII Risk Tolerance

How do you feel about risk?

There are no wrong answers — go with your gut.

Just aware of it (%)
Worried (%)
Alarmed (%)
XVIII–XIX Notes & Your Team

Anything else we should know?

Last one. Add anything that's on your mind and tell us who else is on your team.

That's everything — thank you.

Your assessment is on its way to your advisor. They'll review it personally and walk you through what it shows — the parts worth celebrating and the gaps worth a closer look.

If you haven't already, schedule your review call so they can go through it with you.

Schedule Your Review Call

Already booked your call? You're all set — nothing else is needed right now.