FACT FIND

David Hook Independent Financial Advisers can provide advice. Whether you are planning to invest a sum of money or simply reviewing your existing investment strategy, you may find our help invaluable. Our advice is free, and you are under no obligation to follow it. After studying the information you have supplied we will contact you with our comments and recommendations. Occasionally we may ask you for clarification on some points prior to offering advice. This form may take you a few minutes to complete fully, but the more information you can give us about your circumstances and what you want your investments to do for you, the more appropriate our comments will be.

Once completed click SEND and we will contact you shortly.

FINANCIAL OBJECTIVES Self Partner
(please tick any item you are interested in discussing further)
Provision for Retirement
Inheritance Tax Planning
Lump Sum Investments
Annuities
Investment for Income
Investment for Growth
Investment for Children
Regular Saving
Other
PERSONAL DETAILS Self Partner
Title
Surname
Forenames
Marital Status
Smoker
Sex
Are you in good health
UK Resident for Tax
Date of Birth
Address
Telephone Home
Telephone Work
Email Address
CAPITAL Self Partner
Principal Residence £ £
Contents / Valuables / Cars £ £
Other Properties £ £
Gilts £ £
Shares £ £
Unit Trusts £ £
ISA’s £ £
PEP’s £ £
TESSA’s £ £
Bank, Building Soc Accounts £ £
National Savings £ £
Investment Bonds £ £
Other Assets £ £
Misc £ £
Total £ £
LIFE ASSURANCE Self Partner
Do you have Life Assurance
Sum Assured £ £
End Date
Premium £ £
Which Company is it with
Type
Other
Is it in Trust
Do you have a will
PENSION PROVISION Self Partner
Are you paying into a pension
How much do you contribute

£ or
%

£ or
%
What age do you intend to retire
Do you have preserved benefits
If yes, please provide details below
FINANCIAL DEPENDANTS
Name Relationship Date of Birth
INCOME / OUTGOINGS Self Partner
Income
Occupation (Job Title)
Employers Name
Employment Status
Earned / Pension Income £ £
Dividend Income £ £
Bank / B. Society Income £ £
Rental Income £ £
Trust Income £ £
Total Annual Income £ £
Highest rate of tax payable
Outgoings    
Mortgage / Rent £ £
Household Expenses £ £
Insurances / Pension £ £
Cars £ £
Food / Clothing £ £
HP / Loans £ £
Miscellaneous £ £
Total Outgoings £ £
LIABILITIES Self Partner
Mortgage    
Amount Outstanding £ £
Start Date
End Date
Type
Other (please state)
Other (please state)
Lender
Monthly Mortgage Payment
Other Loans
Please give details
Please give details
ATTITUDE TO RISK
To assist us in understanding your attitude to the future investment of your money please refer to the guide below. Please remember to take into account both flexibility and access. Where you have a different attitude for different types of investment please give details, eg. you may have a more adventurous attitude to a lump sum investment than for your retirement planning.
  Risk Factor           Investment
A Cautious investment will usually be deposit based and is designed to provide a rate of growth with little or no risk to capital. Because of this the potential return on your investment may be limited. However inflation could cause the value of your investment to decrease in real terms.
1 --------------- Bank Current Account
2 --------------- National Savings
3 --------------- Deposit funds / Tessa
A Balanced investment will usually be asset backed and may include a spread of investments to reduce the overall level of risk. In the short term it is likely the value of such investment will fluctuate. Historically, over the longer term ie 5 years + the return from Balanced investments has been greater than that for gained from cautious investments.
4 --------------- Managed / With Profit Funds
5 --------------- Specialist Insurance Funds
                              Unit Trust ISA’s
An Adventurous investment is usually asset- backed and invested in a restricted portfolio of stocks and shares. The potential rewards are higher than those gained from Balanced investments but there may be a high potential risk to capital.
6 --------------- Specialist Unit Trusts
7 --------------- Direct equities
8 --------------- Commodity Futures
Attitude to Risk Self Partner
Short term ( -5 years)
Medium term ( 5 to 10 years)
Long term (above 10 years)
Your Investment objective is to Seek Capital Growth
Provide Income
Capital Growth & Income 		 
Have you used this year’s ISA allowance
Maxi or Mini
Maxi or Mini
Other Information
Please set out below any other information which you feel may be relevant.

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FSA Consumer Help
David Hook Independent Financial Advisers
Rigton Croft, Scarsdale Lane, Bardsey, Leeds, LS17 9BH
Tel: 01937 572996 or 01937 572175
Fax: 01937 574642
Email: enquiries@davidhook.co.uk