| Your Birthday |
|
Format: mm/dd/yyyy |
|
| Annual Income |
|
Gross Annual Income. Include bonuses, commissions, net rental income. |
|
| Spouse's Birthday |
|
Format: mm/dd/yyyy |
|
| Spouse's Annual Income |
|
Gross Annual Income. Include bonuses, commissions, net rental income. |
|
| State of Residence |
|
Select a state. |
|
|
| Nearest Age of 1st Child |
|
Enter child's age, 0 - 22. Leave blank if no children. |
|
| Nearest Age of 2nd Child |
|
Enter child's age, 0 - 22. Leave blank if no children. |
|
| Nearest Age of 3rd Child |
|
Enter child's age, 0 - 22. Leave blank if no children. |
|
| Nearest Age of 4th Child |
|
Enter child's age, 0 - 22. Leave blank if no children. |
|
| Residence Mortgage Debt(s) |
|
Outstanding mortgage amount on primary residence. |
|
| Other Mortage Debt |
|
Other mortgage amount, cottage or rental mortgages. |
|
| Auto Debts |
|
Auto loan amount. Or, remaining lease payments. |
|
| Credit Card Debt |
|
Outstanding balance all credit cards. |
|
| Other Debts |
|
Student loans, lines of credit or home equity loans. |
|
|
|
