Demo·HTP-3
Client Intake
Step 1 of 7
Saved
Household Goals Income & Assets Liabilities Insurance & Estate Risk Tolerance Review & Sign
Step 1 of 7

Tell us about your household

The basics. We’ll only ask for what your advisor actually needs.

Primary client

Required.
Required.
Required.
Required.

Spouse / partner

Dependents

Contact & employment

Valid email required.
Step 2 of 7

What are you planning for?

Pick the areas that matter to you. Then drag your top three into priority order.

Areas of focus (pick all that apply)

Retirement planning
Debt reduction
Education funding
Home purchase
Wealth transfer
Tax optimization
Insurance review
Business planning

Top 3 priorities (drag to reorder)

Drag the highest priority to the top.

Timeline

Step 3 of 7

Income & assets

Round numbers are fine. Your advisor will refine this together with you.

Income

Required.
W-2 salary
Self-employment
Business ownership
Rental income
Investment income
Social Security
Pension
Other

Assets

Step 4 of 7

Liabilities & expenses

What goes out, and what you owe.

Debt balances

Monthly expenses

Step 5 of 7

Insurance & estate

A quick coverage check. Anything missing is a planning conversation, not a problem.

Life insurance

Other coverage

Disability insurance
Health insurance
Long-term care
Umbrella liability

Estate documents

Will
Revocable / living trust
Power of attorney
Healthcare directive
Step 6 of 7

Risk tolerance

Five questions. There are no wrong answers — just useful ones.

Step 7 of 7

Review & sign

A summary of what you’ve told us. Edit any section that needs a change.

Signature

Sign with your mouse, trackpad, or finger. This represents your acknowledgment of the consents below.

Acknowledgments

Thank you, friend.

Your intake is complete. A Balance Wealth advisor will reach out within one business day to schedule your first conversation. Everything you entered is encrypted in transit and at rest.

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