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Full Name
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Email
*
Phone
*
What is your age?
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Under 55 Years Old
55-65 Years Old
65+ Years Old
When do you plan to retire?
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I’m already retired
In 1–5 years
In 6–10 years
In 10 Years+
What is the total value of your investable assets (e.g., savings, investments, retirement accounts)?
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Under $250k
$250k-$499k
$500k-$999K
$1M+
How many income sources do you expect in retirement (e.g., Social Security, Pension, Investments)?
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None/I'm Not Sure
1 Source
2 sources
3 or more sources
Do you have any highly appreciated assets such as stocks and/or real estate that you would hesitate to sell because of the capital gains tax?
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Yes
No
Would you be interested in learning unique “IRA Usage” strategies for maximizing income for you and your spouse, and maximizing tax-free transfer to your heirs?
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Yes
No
Do you have a trust and/or will in place?
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Yes, a living trust updated within the last 5 years
Yes, only a will updated within the last 5 years
I have one of these, but it’s over 5 years old
No, I don’t have a will or trust