
Magnolia Private Wealth
Client Name
Advisor
Date Completed
Complete each section as accurately as you can. Round numbers and estimates are fine; we can refine anything together. When in doubt, use annual figures and note whether each amount is monthly or annual.
A few things are intentionally left out of this form: income sources, investment and retirement accounts, and tax considerations are each handled in separate parts of the planning process. If something doesn't seem to have a home in any of these six categories, add it to the notes section at the bottom.
Mortgages, car loans, student loans, home equity lines. Add one entry per loan.
Description
Original Loan Amount
Original Term
Current Balance
Interest Rate
Monthly Payment
Remaining Term
Property taxes, homeowners insurance, HOA fees, condo fees. One entry per property.
Property Description
Property Taxes (annual)
Insurance (annual)
HOA / Other (annual)
Large one-time costs you're anticipating. Estimates are fine; we'll refine together.
Description
Estimated Cost
Frequency
Expected Timeframe
Notes
Life, disability, long-term care, health insurance, Medicare premiums. Add one entry per policy.
Policy / Description
Annual Premium
Notes
Groceries, utilities, dining, gas, clothing, entertainment, subscriptions: your lifestyle baseline. One comfortable number.
Monthly Baseline
Notes
Planned but flexible spending: travel, club memberships, charitable giving, hobbies. Add one entry per item.
Description
Amount
Frequency
Notes
Estimated Monthly Total
Debt Payments
$—
Property Costs
$—
Insurance
$—
Everyday Living
$—
Discretionary
$—
This is a good place to mention expenses you're uncertain about, items that are changing soon, anything that felt like it didn't belong in a category, or context that would help us model your situation more accurately. Income, investments, and tax considerations are captured separately. This is for everything else on your mind.
Magnolia Private Wealth · Confidential · For planning purposes only
Disclaimer: The opinions voiced and information provided in this document is for informational and educational purposes only. It should not be considered investment, financial, or legal advice. Nothing herein constitutes a recommendation to buy, sell, or hold any security or financial instrument. Magnolia Private Wealth does not provide tax, legal or accounting advice. Investing involves risk, including the potential loss of principal. You should consult with a qualified financial advisor, tax professional, or other appropriate professional before making any financial decisions. The author and publisher assume no liability for any losses or damages resulting from the use of this information.