Disability Income Needs

Use this planning tool to create a professional disability income needs analysis for your clients and prospects. After completing the information, click the Submit button to generate a PDF report.
Contact Information
Client Spouse  
First name  
Last name  
Birthdate (mm-dd-yyyy)  
Address  
City  
State  
Zip  
Phone  
Advisor Information
Advisor name  
Title  
Company name  
Address1  
Address2  
City  
State  
Zip  
Phone  
Income Detail
Client Spouse  
Annual Income ($)  
Annual Pay Increases (%)  
Desired Retirement Age  
Available Assets
Liquid/Taxable Investments ($)  
Pension
Client Spouse
Annual (spouse) pension if you were to be disabled ($)  
Adjust pension for inflation?  
Existing Disability Policies
Company Annual Premium Insured Party Monthly Benefit Waiting Period (days) Benefit Per. (years) Maximum Age (if any) Indexed with inflation? (Y/N)  
 
 
Disability Income Needs
Initial spending For how long? Subsequent spending For how long?  
Annual spending if client disabled ($)  
Annual spending if spouse disabled ($)  
Assumptions and Returns
If client were to become disabled, how much (if any) would the Spouse's personal earned income change from the current level? (allow for negative (-) values) ($) 
If spouse were to become disabled, how much (if any) would the Client's personal earned income change from the current level? (allow for negative (-) values) ($) 
Ages of Dependent Children Under 18 1)    2)    3)    4)    5)    6)   
Portfolio before-tax return (%) help
Marginal tax bracket (%) help
Estimated inflation rate (%) help
   

Additional Information

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This information may help you analyze your financial needs. It is based on information and assumptions provided by you regarding your goals, expectations and financial situation. The calculations do not infer that the company assumes any fiduciary duties. The calculations provided should not be construed as financial, legal or tax advice. In addition, such information should not be relied upon as the only source of information. This information is supplied from sources we believe to be reliable but we cannot guarantee its accuracy. Hypothetical illustrations may provide historical or current performance information. Past performance does not guarantee nor indicate future results.

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