Client Fact Find

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Personal Review

Client
Linked Client
Employment
Client
Linked Client
Income
Client
Linked Client
Employment Benefits
Client
Linked Client
Monthly State Benefits
Client
Linked Client
Dependants
Client
Name Date Of Birth Age
Linked Client
Name Date Of Birth Age

Financial Review

Pension
Client
Linked Client
Investment Knowledge
Client
Linked Client
Attitude To Risk
Client
(Conservative)
(Cautious)
(Balanced)
(Growth)
Linked Client
(Conservative)
(Cautious)
(Balanced)
(Growth)
Profile Adjustments
Client
Term Level
Linked Client
Term Level
Savings
Client
Linked Client
Assets
Client Asset Type Ref/Address Value Net Monthly Income Notes
Liabilities
Client Liability Type Provider Purpose Monthly Repayment (Due) Monthly Repayment (Being Paid) Total Balance Outstanding End Date
Net Worth Statement
Assets €
Total Liabilities €
Net Worth (-Deficit) €
Monthly Expenditure

Please note Household/Living Expenses also include the cost of Protection Insurance, Household Insurance, Health Insurance, Investments and Pensions.

Client
Linked

Existing Policies

Protection Policies

Company Policy Number Policy Type Premium € Frequency Status Benefits Start Date End Date

Savings and Investment Policies

Company Policy Number Product Premium € Frequency Status Value € Start Date Maturity Date

Pension Policies

Company Policy Number Product Premium € Frequency Status Value € Start Date Maturity Date

Income Protection Policies

Company Policy Number Policy Type Premium € Frequency Status Benefits Start Date End Date

Mortgages and Loans

Company Ref / Address Type Repayment € Total Balance Due € Arrears € row Est Property Value € End Date Notes / Description
Due Being Paid

Health Insurance Policies

Company Policy Number Premium € Frequency Status Start Date

House Insurance Policies

Company Policy Number Premium € Frequency Status Start Date End Date

Payment Protection Insurance Policies

Company Policy Number Premium € Frequency Status Start Date End Date

Advices & Decision

Type: Life Cover
Review:
Priority:
Time Frame:
Monthly Premium:
Advice:
Decision:
Type: Specified Illness
Review:
Priority:
Time Frame:
Monthly Premium:
Advice:
Decision:
Type: Life & Illness
Review:
Priority:
Time Frame:
Monthly Premium:
Advice:
Decision:
Type: Mortgage Protection
Review:
Priority:
Time Frame:
Monthly Premium:
Advice:
Decision:
Type: Income Protection
Review:
Priority:
Time Frame:
Monthly Premium:
Advice:
Decision:
Type: Business Protection
Review:
Priority:
Time Frame:
Monthly Premium:
Advice:
Decision:
Type: Inheritance Tax Planning
Review:
Priority:
Time Frame:
Monthly Premium:
Advice:
Decision:
Type: Savings Plan
Review:
Priority:
Time Frame:
Monthly Premium:
Advice:
Decision:
Type: Investments Plan
Review:
Priority:
Time Frame:
Monthly Premium:
Advice:
Decision:
Type: Education Plan
Review:
Priority:
Time Frame:
Monthly Premium:
Advice:
Decision:
Type: Pension
Review:
Priority:
Time Frame:
Monthly Premium:
Advice:
Decision:
Type: Mortgage
Review:
Priority:
Time Frame:
Monthly Premium:
Advice:
Decision:
Type: Borrowing Review
Review:
Priority:
Time Frame:
Monthly Premium:
Advice:
Decision:
Type: Home Insurance
Review:
Priority:
Time Frame:
Monthly Premium:
Advice:
Decision:
Type: Health Insurance
Review:
Priority:
Time Frame:
Monthly Premium:
Advice:
Decision:
Type: Motor Insurance
Review:
Priority:
Time Frame:
Monthly Premium:
Advice:
Decision:
Type: Other Insurance
Review:
Priority:
Time Frame:
Monthly Premium:
Advice:
Decision:
Type: Mortgage Payment Protection Insurance
Review:
Priority:
Time Frame:
Monthly Premium:
Advice:
Decision:
Type: Existing Product Replacement/Adjustment
Review:
Priority:
Time Frame:
Monthly Premium:
Advice:
Decision:

Client Individual Profile

Technical
Power of Attorney
If Yes, provide details
Is there a Will?
If yes, provide summary details and particulars of any tax implications for beneficiaries
Vulnerable Customer
If Yes, provide details
Politically Exposed Person (PEP)
If Yes, provide details
Money Laundering Addressed? Source of Wealth Accumulation Source of Funds for Investment
If No, explain why
Beneficial Owner
Are you satisfied who the beneficial owner of all products is
Health
Are there any health issues with applicant or other relevant party?
If Yes, provide details
Does employer pay during illness?
If Yes, for how long
Financial & Personal
Are circumstances expected to change?
If Yes, provide details
Have your circumstances changed since last review or since taking out other products? Have you sold assets recently?
If Yes, provide details
Is your income expected to fall or rise?
If Yes, provide details
Has the customer a particular need to save?
If Yes, provide details
Does customer have a preference for a particular product term?
If Yes, provide details
Have product options been considered? (Waiver of Premium, Convertible, Guaranteed Insurability)
If Yes, provide details
Does customer need access to funds?
If Yes, provide details
Is the client's risk profile and product profile aligned?
If No, provide details of the proposal
Have you inherited assets recently?
If Yes, provide details
Do you plan to make gifts?
If Yes, provide details
Have you made losses on investments in the past?
If Yes, provide details

Declarations

Client Disclosure Requirements:

I/we are aware that when completing proposals customers are required to disclose; medical details or history and previous insurance claims made for the type of insurance sought.

Failure to do so may result in;
  • i) a policy may be cancelled.
  • ii) claims may not be paid.
  • iii) difficulties may be encountered in trying to purchase insurance elsewhere.
  • iv) in the case of property insurance, failure to have property insurance in place could lead to a breach of the terms and conditions attaching to any loan secured on that property.

I/We acknowledge receipt of Terms of Business and Privacy Statement documents

I/We declare that to the best of my/our knowledge and belief, all the information contained in this review is true and complete. The Advisor’s Comments and Recommendations have been fully explained to me/us and I/we confirm that I/we wish to proceed as outlined in this document.

I/We confirm that where I/We are represented by an introducer (accountant, solicitor, estate agent or other party) that I/We agree that information such as amount of finance approved and the amount drawn-down can be shared with the introducer for the purpose of paying introductory fees to the introducer.

Data Protection

I/We have provided the above information to enable our financial and / or mortgage advisor firm collect and process my / our data in compliance with General Data Protection Regulations (GDPR)

I/We have provided our financial and / or mortgage advisor firm with my / our permissions under separate cover in compliance with General Data Protection Regulations (GDPR) in relation to my / our marketing preferences and understand that I/ we can opt in and out of or change the preferences at any time.