Tax Saving Consultation - Questionnaire Please fill out this form to help us design a tax saving strategy centered around what is most important to you and your specific objectives. This form takes around 2 - 3 min to fill. Thank you.GENERAL INFORMATIONYour Email Your Phone Your Address Your Date of Birth Selected Event Date & Time Please provide some more information about your Business : Do you own a business ? * —Please choose an option—YesNo [group Own-Business-selected]MY OPINIONS :Please check the one most appropriate to you:1. Wills and Will planning is :Very importantImportantNot important2. Appointing Power of Attorney is :Very importantImportantNot important3. Insuring our key people is :Very importantImportantNot important4. I consider a good life insurance program to be :Very importantImportantNot important5. On my death, my family’s ability to maintain their standard of living is :Very importantImportantNot important6. In the event of my death, paying off debt is :Very importantImportantNot important7. Rewarding key people is :Very importantImportantNot important8. Eventually passing my business to my child(ren) is :Very importantImportantNot important9. If I cannot work due to sickness or disability, assuring an income is :Very importantImportantNot important10. Retirement planning is :Very importantImportantNot important11. Tax deferred investing is :Very importantImportantNot important12. Buying out a shareholder on death is :Very importantImportantNot important13. Estate planning to save tax is :Very importantImportantNot importantIN THE NEAR FUTUREI plan to (OR) expect to :MarryBuy-out a partnerReceive inheritanceDivorceBring family into businessBorrow moneyRetireReorganize corporatelyBuy insuranceStart a businessChange firmsPay off a loanExpand a business Purchase propertyWrite a willSell a businessSell propertyOther [group my-plan-other-selected] [/group]BUSINESS1. I have outlined my financial plans on paper :YesNoNot Sure2. I know when I want to retire :YesNoNot Sure3. I know what capital I need to enjoy my retirement years :YesNoNot Sure4. I know how tax deferred savings can be used to my advantage :YesNoNot Sure5. My life insurance program is consistent with my retirement plans :YesNoNot Sure6. I carry personal disability or accident/sickness insurance :YesNoNot Sure7. Our business has a written business succession plan :YesNoNot Sure8. My life insurance is consistent with our business succession plan :YesNoNot Sure9. I have developed a tax effective estate plan :YesNoNot Sure10. I have a current, valid Will that is consistent with my estate plan :YesNoNot Sure11. I understand the full impact of how taxes will be applied to my estate :YesNoNot Sure12. My life insurance is consistent with my total estate plan :YesNoNot Sure13. I understand how trusts are used in estate planning :YesNoNot SureI AM INTERESTED IN DISCUSSING1. A review of all my existing insurance :YesNoNot Sure2. Ways to provide for my family in the event of death :YesNoNot Sure3. Insurance to pay off debt :YesNoNot Sure4. Creditor protection :YesNoNot Sure5. Supplemental executive compensation plans for key employees :YesNoNot Sure6. Supplemental executive compensation plans for business owners :YesNoNot Sure7. Ways to minimize income taxes :YesNoNot Sure8. Ways to reduce estate taxes :YesNoNot Sure9. Tools for family business succession :YesNoNot Sure10. Ways to pay me if I become critically ill :YesNoNot Sure11. Tools to extract retained earnings :YesNoNot Sure12. Tax efficient supplemental income for my retirement :YesNoNot Sure13. Estate planning :YesNoNot Sure14. Investments that are tax favored :YesNoNot Sure15. Charitable giving :YesNoNot Sure16. Buy-sell agreements for multiple shareholders :YesNoNot Sure17. Other (specify) : [/group] [group No-Business-selected]MY OPINIONS :Please check the one most appropriate to you :1. Saving and accumulating money on a regular basis is : Very importantImportantOf little value2. Providing educational funds for children is :Very importantImportantOf little value3. Having a professional advisor involved in my insurance, investment and retirement planning is :Very importantImportantOf little value4. Developing and maintaining a strategic financial plan is :Very importantImportantOf little value5. Having an up-to-date will and power of attorney is :Very importantImportantOf little value6. In the event of my death or my spouse’s/partner’s premature death, maintaining our family’s lifestyle is :Very importantImportantOf little value7. In the case of a disability or critical illness for me or my spouse/partner, paying off any outstanding mortgage or debt is :Very importantImportantOf little value8. In the case of a disability or critical illness for me or my spouse/partner, providing for our children’s post-secondary education is :Very importantImportantOf little value9. In the case of a disability or critical illness for me or my spouse/partner, being able to pay off the mortgage and other major bills is :Very importantImportantOf little value10. In the case of a disability or critical illness for me or my spouse/partner, maintaining our standard of living and lifestyle is :Very importantImportantOf little value11. In the case of a disability or critical illness for me or my spouse/partner, being able to pay for any additional medical expenses is :Very importantImportantOf little value12. Minimizing the impact of inflation and taxes is :Very importantImportantOf little value13. At retirement, having sufficient funds to retire on my own term is :Very importantImportantOf little valueIN THE NEAR FUTUREI plan to (OR) expect to (check all that apply) :OccupationallyReceive a raiseChange employmentStart a businessRetireOther [group occupationally-other-selected] [/group]PersonallyGet marriedStart a familyCare for a parentOther [group personally-other-selected] [/group]FinanciallyBuy/Sell a home/propertyBorrow moneyPay off a loanBuy/Sell a businessOther [group financially-other-selected] [/group]FINANCIAL OVERVIEW1. I have a professional advisor who guides me in my financial planning :YesNoNot Sure2. I know what I am entitled to under my and/or my spouse’s/ partner’s group benefits and/or pension plan : YesNoNot Sure3. I have a regular savings and accumulation program :YesNoNot Sure4. I have plans in place to provide post-secondary education for my children :YesNoNot Sure5. I know how much income I will receive if I become disabled :YesNoNot Sure6. In the event of a critical illnes (e.g., heart attack, cancer) I have enough money to make the necessary lifestyle adjustments :YesNoNot Sure7. I/We can afford the costs of long-term care should the need arise :YesNoNot SureRETIREMENT OVERVIEW1. I know what capital I need now to be on a permanent vacation during my retirement years :YesNoNot Sure2. My pension plan/retirement fund is structured to maximize it’s benefits :YesNoNot Sure3. I maximize my RRSP contributions each year :YesNoNot Sure4. My current rate of savings and investments are sufficient to meet my retirement objectives :YesNoNot Sure5. I understand what happens to my group benefits at retirement :YesNoNot SureESTATE OVERVIEW1. I/We have made a list of all important documents and their location :YesNoNot Sure2. I understand the full impact of how taxes will be applied to my estate and those ramifications :YesNoNot Sure3. I have an up-to-date will and power of attorney :YesNoNot Sure4. My/Our current life insurance coverage will sustain our family’s lifestyle after my death :YesNoNot SureI AM INTERESTED IN DISCUSSING / REVIEWING1. A review of my savings and investment programs :YesNo2. Ways to maximize my pension and retirement income :YesNo3. Ways to fund post secondary education for my children or grandchildren :YesNo4. Ways to put an up-to-date financial plan in place :YesNo5. Ways to maintain my family’s lifestyle in the event of my death or disability :YesNo6. Ways to maximize charitable gifting :YesNo7. Strategies to reduce taxes :YesNo8. Insurance to pay off the mortgage :YesNo9. Ways to offset the cost of a critical illness :YesNo10. Ways to offset the substantial expense of long term care :YesNo11. Ways to fund Capital Gains and other estate taxes :YesNo12. Ways to ensure the value of my business goes to my family should I die, become disabled or critically ill :YesNo13. Life insurance on (check accordingly) :MyselfMy spouse/partnerMy children/grandchildrenN/A14. Income protection (Disability) (check accordingly) :MyselfMy spouse/partnerMy children/grandchildrenN/A15. Critical Illness Insurance on (check accordingly) :MyselfMy spouse/partnerMy children/grandchildrenN/A16. Long Term Care Insurance (check accordingly) :MyselfMy spouse/partnerMy children/grandchildrenN/A [/group]