FINANCE ORGANIZER
stevenzelin.com
This is the kind of information a CPA and/or financial planner needs to create a solid client profile. The more questions you can answer,
the better a professional can help you.
YOU AND YOUR FAMILY
1) What is your name? ______
2) What is your address? ______
3) What is your marital status? ______
4) If married, on what date were you married? ______
5) If married, what is your spouse’s complete legal name? ______
6) Can you be claimed as a dependent on another taxpayer’s return? ______
7) If you have dependents, please provide names, birth dates, Social Security numbers:
8) Do you have an up-to-date will? ______If “Yes,” are you comfortable with the details? ______If “No,” does this worry you? ______
9) Do you have health insurance? ______
9a) Do you have a medical savings account (MSA / HSA) or receive Medicare benefits?
______
10) Have you established a trust of any kind for any purpose? If “Yes,” please describe:
11) Do you have unmarried children over the age of 19 who can be claimed as dependents? ______
12) Do you have unmarried children under age 24 who are full-time students? ______
13) In the past 12 months, was there interest and/or dividend income or investment income accruing to a dependent? ______
14) If any of your dependent children have 529 accounts (saving for a college education),
you will be asked to provide details and current statements.
15) In the past 12 months, did you receive unreported tip income of $20 or more in any month in the past year? ______(If “Yes,” this needs to be reported to the IRS.)
16) In the past 12 months, did you cash any Series EE U.S. savings bonds issued after 1989 and pay qualified higher education expenses for you, your spouse or a dependent?
______
17) In the past 12 months, did you receive disability income? ______
18) In the past 12 months, did you have foreign income or pay foreign taxes? ______
(If “Yes,” you will need to provide wage statement(s) and foreign tax return(s).)
RETIREMENT PLANNING
19) In the past 12 months, has anything in your life changed? ______If so, please
briefly describe: ______
Do you anticipate changes in the current year? ______
20) Have you maximized your contribution to your retirement savings plan? ______
21) Do you have a tax-advantaged retirement savings plan? ______
22) In the past 12 months, has your taxable income or filing status changed? ______
23) Has your employer changed any details of your retirement or benefit plan(s)? ______
24) Are you, your parents or other family members subject to required minimum distributions? (RMDs) ) ______
25) In the past 12 months, have you bought or sold property or other major assets or made a major capital improvement to your property (if you own)? ______
26) Do you intend to make year-end financial gifts to family or charity? ______
27) Are you helping or planning to help a loved one with college expenses? ______
28) If Social Security or Medicare were to change, would it significantly impact your lifestyle? If “Yes,” how would it impact? ______
TAXES
29) Do you usually take a refund, or do you apply tax refund money to the next year to reduce the bill? ______
30) Do you use a tax professional to prepare your taxes? ______For projections? ______
EDUCATION
31) Did you receive a distribution from an Education Savings Account or a Qualified Tuition Program? ______(If “Yes,” you will need to provide details.)
32) Did you, your spouse or a dependent incur any tuition expenses required in order to attend a college, university or vocational school? ______(If “Yes,” you will need to provide details.)
MISCELLANEOUS
33) Did you have an interest in, or authority over a financial account in a foreign country in the last 12 months? ______(If “Yes,” you will need to provide year-end statement(s) if the account(s) totaled more than $10,000 at any time during the year.)
34) Did you receive a distribution from a foreign trust? ______Were you the grantor of or transferor to a foreign trust? ______(If “Yes” to either question, you will need to provide trust documents and/or year-end bank statements.)
35) In the past 12 months, was your home rented out or used for business? ______
(If “Yes,” you will need to provide details.)
36) Did you incur moving expenses due to a change of employment? ______(If “Yes,” you will need to provide details.)
37) In the past 12 months, did you have household employees receiving cash wages of $1,000 or more each? ______Did you withhold federal tax at the request of a household employee? ______Did you pay total cash wages of $1,000 or more in any calendar quarter for things like babysitting, cleaning, cooking, gardening? ______
(If “Yes” to any of these, you will need to discuss in detail.)
38) In the past 12 months, were you audited or notified of an audit by the IRS or a state taxing agency? ______(If “Yes,” you will need to provide details.)
39) In the past 12 months, did you (or spouse) make a gift to an individual or trust totaling more than $13,000? ______(If “Yes,” you will need to provide details and discuss.)