FINANCIAL FACT FIND
STRICTLY PRIVATE AND CONFIDENTIAL
Your name(s): ..............................................................................................
Your financial adviser: ..................................................................................
Date of initial meeting: ................................................................................
Referred by: ................................................................................................
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Financial Fact Find
Mercer is a business name owned by Mercer (Australia) Pty Ltd ABN 32 005 315 917 (Mercer). Mercer Financial Advice (Australia)
Pty Ltd (MFAAPL) is a wholly owned subsidiary of Mercer. Your Mercer Financial Adviser is an Authorised Representative of MFAAPL.
PRIVACY STATEMENT
Mercer holds and uses personal information about you as a client of Mercer Financial Advice (Australia) Pty Ltd. The personal information that you provide is necessary to enable your financial adviser to make recommendations appropriate for your needs and circumstances. If you decide not to provide the necessary information then your financial adviser may not be able to provide you with appropriate financial advice. You should also understand that if you provide incomplete or inaccurate information, you may not receive the right advice and you may lose your right to seek compensation as a consequence.
As part of the implementation and review of your financial plan your personal information may, as required, be transferred to or
handled by fund managers, insurers, government regulatory bodies, legal and other professional advisers and other business
support providers. By completing this Fact Find (or providing details to your financial adviser to complete the Fact Find), you consent
to Mercer collecting, using and disclosing your personal information for these purposes.
You can access your own personal information by contacting your financial adviser. A fee may apply. If your personal information is inaccurate, incomplete or not up-to-date you may request us to correct it. A copy of Mercer’s Privacy Policy can be obtained from your financial adviser or at mercerfinacialadvice.com.au.
ABOUT US – AND ABOUT YOU
The information you provide in this Fact Find will help us provide appropriate advice to help you achieve your goals. It is therefore important that you complete this document as accurately and fully as possible.
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Your goals and objectivesWhy do you feel you need to see a financial adviser?
What is important to you over the next 2 years?
What is important to you over the longer term in, say, 2–5 years from now and in 10 years time?
Income and capital requirements
LIFESTYLE AND FINANCIAL GOALS
Please indicate whether these objectives are important to you – in the boxes next to each question,
tick if important, of interest or not for your consideration.
Important Of interest Not considered
I would like to know more about ethical and socially responsible investment
I need help to save money, e.g. for a car, holiday or deposit ($ ________ )
I would like to reduce the current amount of tax I pay
Access to the majority of your funds at short notice
I need help to create a budget
Am I saving enough to support myself in retirement?
Review of existing investments
I would like to know if my investments are the right ones for me
I need help managing my debts I am interested in finding out more about direct equities I need help to ensure my redundancy and employee entitlements are used effectively
What to do with an inheritance I would like to know how to best invest my money
I am interested in government benefits such as social security I am interested in a Self Managed Superannuation Fund
I am interested in having more control over my superannuation I would like to know if I am packaging my salary effectively I would like to ensure my family is financially secure if I die or suffer a serious illness I would like to provide an inheritance or provide for my children’s education Other:
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Financial Fact Find
Personal details CLIENT 1 (C1) CLIENT 2 OR PARTNER (C2)
Title
Family name
Given names
Preferred name
Date of birth
Marital status
Hobbies & interests
CHILDREN AND OTHER DEPENDANTS DATE OF BIRTH DEPENDANT
Name No Yes until age
Name No Yes until age
Name No Yes until age
Name No Yes until age
CONTACT DETAILS
Address
City / suburb
State and postcode
Mailing address (If different to above)
City / suburb
State and postcode
Home phone Fax
C1 Work phone C2 Work phone
C1 Mobile C2 Mobile
C1 Email
C2 Email
PREFERRED CONTACT
Home phone C1 Work phone C2 Work phone C1 Mobile C2 Mobile C1 Email C2 Email
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Other entitiesIf you have a company, family trust, Self Managed Super Fund (SMSF) or private business please provide details below
EMPLOYMENT DETAILS (C1) (C2)
Occupation
Qualifications
Employment status (eg. full-time, self employed)
If self employed (sole proprietor, partnership or company?)
Employer
Date joined employer
Expected retirement age
Will you be leaving your current employment soon? Yes No
Yes No
If yes, what date will you finish?
What is the reason you are leaving? (eg. retrenchment, resignation, retirement)
Do you intend to return to employment? If so, when?
SALARY DETAILS (C1) (C2)
Base salary (gross)
Employer super contribution
Total package (gross)
Trust
Name:
Type Family
Other
Beneficiaries:
Company
Name:
Directors:
SMSF
Name:
Type of Trustee Individual
Corporate
Trustees:
Members:
Financial Fact Find
PACKAGED ITEMS
($) or (%) ($) or (%)
Salary sacrifice to super Yes No Yes No
Motor vehicle Yes No Yes No
Bonus Yes No Yes No
Other (eg. shares) Yes No Yes No
Other income Please use this section to provide us with details about any income you receive from sources other than employment.
(eg. annuity / superannuation pension / overseas pension / trust income / government benefits)
TYPE OF INCOME
Description (C1) (Gross) (C2) (Gross)
Interest
Dividend/Distribution
Rental income
Superannuation Pension/Annuity
Overseas Pension
Government Benefits
Other
INCOME / CAPITAL REQUIREMENTS
If required, a Budget Calculation Sheet is available on the next page.
Description (C1) (C2)
What amount of after tax income do you need cur-rently (exclude any loan repayments)?
What amount of after tax income do you want in retirement?
DO YOU HAVE ANY EXPENDITURE THAT YOU WISH TO PLAN FOR?
(eg. holiday, new car, renovations, saving for children’s education)
Description Estimated amount Estimated date
Minimum Cash Balance to be maintained
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Budget calculation sheet (optional)
Expenses Household
Regular commitments Weekly Monthly Quarterly Yearly
House repayments/rent
Rates
Electricity/Water/Gas
Telephone/Mobile
Pay television/Internet
Insurance – home/contents
Insurance – car
Insurance – life
Health Insurance
Insurance – income/disability
Loans
Credit cards
Car registration
School fees/Texts/Uniforms
Public transport
Child care
Other expenses
Food
Clothing/Haircuts/Beauty
Fares
Petrol/maintenance
House maintenance
Pets/Vets/Registrations
Medical/Dental
Sport/gym
Entertainment/Dinners
Alcohol/cigarettes
Clubs/Prof. Memberships
Hobbies
Gifts – Birthdays/Christmas
Holidays
Total expenses x52 x12 x4 x1
Total per annum
Notes / Comments:
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Financial Fact Find
Assets (what you own)
PERSONAL ASSETS
Description Owner (C1, C2 or joint) Market value ($) Insured
Principal residence (home) Yes No
Household contents Yes No
Car(s) Yes No
Other (boat, caravan, antiques, etc.) Yes No
SUPERANNUATION
Type (Pension, super, annuity etc)
Name of provider/fund
Account no.Owner (C1, C2 or joint)
Current value
SUPERANNUATION CONTRIBUTION SUMMARYPlease provide after-tax contribution details made within the last 3 financial years.
Date Super fundContribution type After-tax (NCC)*Before-tax (CC)^
Owner (C1, C2 )
Amount
* Non-concessional contributions ^ Concessional contributions
CASH / TERM DEPOSITS / FIXED INTEREST/ORDINARY ANNUITY
Description Bank / Institution Owner (C1, C2 or joint) Interest rateMaturity date
Current value Income re-invested
Yes No
Yes No
Yes No
Yes No
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MANAGED INVESTMENTS / SHARES / TRUSTS
Description Date acquiredOwner (C1, C2 or joint)
Initial amount invested
No. of units Current value Income re-invested
Yes No
Yes No
Yes No
Yes No
Yes No
INVESTMENT PROPERTY
Description Date acquiredOwner (C1, C2 or joint)
Original purchase price
Market valueAnnual rent(gross)
Annual expenses (exclude loan repayments)
LIABILITIES (WHAT YOU OWE)
(eg. personal loans, loans from family members, business loans)
Description LenderOwner (C1, C2 or joint)
Amount owing
Interest rate
Are you paying principal & interest or interest only?
Payment amount
Frequency(fortnightly, monthly)
Remaining term
Mortgage (home)
Credit cards
Investment loan
Please detail below any funds owed to you (eg. money gifted, on loan)
DescriptionAmount owing
Owed to you by
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Financial Fact Find
Termination paymentsDo you require advice on termination payments? If so, please complete the below questions.
(C1) (C2)
Are you able to roll over the redundancy
or termination payment? Yes No Don’t know Yes No Don’t know
Please provide copies of the following documents, Exit quote from your employer super fund
if applicable:
Details of payments you will receive from your employer
PREVIOUS TERMINATION PAYMENTS (C1) (C2)
Have you received a redundancy, termination payment
or ‘golden handshake’ from an employer in the past? Yes No
Yes No
If yes, when?
If Yes, did you cash out part or all of the payment? Yes No Yes No
Have you cashed any super benefits in the past?
If yes, when?
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Wealth protection
PERSONAL INSURANCES
Please provide us with details of your Life, Total and Permanent Disability, Trauma, Income Protection and private health cover
Insurance company Type of Policy Policy no.Owner (e.g. C1, C2, super fund, other)
Sum insured Beneficiary Annual premium
Do you have private hospital insurance? Yes No Yes No
If you require advice on your personal insurance, please complete the below questions.
(C1) (C2)
How long could you continue to meet your
expenses without earning an income?
30
60
90 days or years
30
60
90 days or years
In the event of death, state the preferred amount
(after-tax) of income you would like to provide
your spouse / dependants?$ p.a. to age $ p.a. to age
In the event of permanent disability, would you
like to provide an amount for a carer?$ p.a. to age $ p.a. to age
Would you like to provide education funds for
your children?$ p.a. to age $ p.a. to age
Would you like an immediate lump sum
payment to cover medical costs if you were
diagnosed with a critical illness? Yes No $ Yes No $
(C1) (C2)
How would you rate your health? (please circle one) Good
Fair
Poor
Good
Fair
Poor
Are you a smoker? Yes No Yes No
Are you involved in any hazardous pastimes,(sky diving, rock climbing, BASE jumping, etc? Please list)
Yes No Yes No
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Financial Fact Find
Are you aware of any health issues that might affect current or future financial advice and
insurance considerations?
(C1) Yes No
Details
(C2) Yes No
Details
Have you in the past two years or are you currently taking any medications on an ongoing basis?
(C2) Yes No
Details
(C2) Yes No
Details
Is there a history of any particular illnesses in your family, such as diabetes, heart conditions,
or genetic disorders?
(C1) Yes No
Details
(C2) Yes No
Details
ADDITIONAL PRE-ASSESSMENT QUESTIONNAIRE
Please complete the below details if you would like us to complete an insurance pre-assessment:
Please advise your height (cm):
Please advise your weight (kg):
Do you currently have any one-off / ongoing medical conditions? Yes No Yes No
If yes, what are they?
Have you had any previous ongoing medical conditions? Yes No Yes No
If yes, what were they and when ended?
Have you previously had any surgical procedures completed? Yes No Yes No
If yes, what were they and when?
Do you have any surgical procedures planned in the future (ie, booked surgeries)? Yes No Yes No
If yes, what are they and when are they scheduled?
Do you take medication on a regular or ongoing basis? Yes No Yes No
If yes, what and how often?
Have you previously had any medication on a regular or ongoing basis? Yes No Yes No
If yes, what was it and when finished?
(C1) (C2)
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Estate planning (C1) (C2)
Do you have a Will? Yes No Yes No
When was it last reviewed? / /
/ /
Have your circumstances changed since it was last reviewed? Yes No Yes No
Have you executed any Power of Attorney? Yes No Yes No
Do you have a funeral bond or prepaid funeral plan? Yes No Yes No
Have you been married before? Yes No Yes No
Do you have children from previous marriages/relationships? Yes No Yes No
Are there any special estate planning issues or requirements,
such as special bequests, testamentary trusts or substantial
inheritances, that your financial adviser should be aware of? Yes No Yes No
If yes, please provide details
Do you require advice on estate planning? Yes No Yes No
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Financial Fact Find
Your attitude to risk
A. YOUR FINANCIAL KNOWLEDGE
1. I would rate my knowledge of shares, managed funds, property and investments as:
(please tick the number which best applies to you)
NOTHING MINIMAL MODERATE STRONG SOPHISTICATED
C1 0 1 2 3 4 5 6 7 8 9 10
C2 0 1 2 3 4 5 6 7 8 9 10
2. Please indicate any of the following which applies to you.
I believe I have enough knowledge to feel comfortable making: (please tick relevant boxes) (C1) (C2)
Minor / day to day investment decisions without professional assistance
Some major investment decisions without professional assistance
I do not feel comfortable making any investment decisions without professional assistance
B. YOUR APPROACH TO INVESTMENT RISK
Investment risk is the chance that your investment outcome will be different from what you expected. It might exceed your
expectations or it might fall short.
Determining how you feel about risk (your risk profile) is a critical step in designing an investment strategy for your needs.
Answering the following questions will help your adviser decide on the risk profile that suits you.
Please tick the boxes below for each question that is relevant to your situation.
1. How long do you expect to invest the majority of your funds for?
More than 7 years 8
5–7 years 7
3–5 year 6
Less than 3 years 5
2. How would you describe yourself when it comes to investment risk?
I’m very conservative and am not willing to take on any level of risk 1
I’m fairly conservative but am willing to take on a low level of risk 2
I’m willing to take on a moderate level of risk 3
I’m willing to take a higher level of risk 4
3. If a long term investment that you held started to drop significantly in value over
a short period of time, you would be most likely to:
Sell the whole investment – I wouldn’t want to lose any more money 5
Sell part of the remaining investment – it could go back up, but I don’t want
to risk everything just in case it doesn’t 6
Hold onto the investment – it’s likely it will increase in value again soon 7
Hold the remaining investment and buy more while the value is low
– it would go back up and improve the overall value of my investment 8
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4. Which of the following best describes what you would like to achieve (C1) (C2)
through your investments?
I want a regular source of income – I’m not worried if the investment doesn’t increase
in value over time 5
Generating an income would be my priority, but I would also like to see some increase
in the value of my investment over time
6
I want the investment to grow in value overall. I would like some income from it,
but this is less important to me than investment growth 7
I want solid growth of the investment – I’m not interested in getting an income from the investment 8
5. Which of the following best describes how you view investment in overseas shares?
I wouldn’t invest in overseas shares as I consider it too risky 1
I don’t know much about it – but I may consider investing in overseas shares if I had more information 2
Overseas shares are a good way to diversify risk, however, I would only invest some (not all)
of my funds into overseas shares 3
I consider them a vital part of a long term portfolio, and would be willing to invest a significant
amount of my money in overseas shares 4
6. In terms of investments, which of the following is most important to you to achieve?
High returns over a short period of time at a higher level of risk 4
High returns over a longer period of time at a lower level of risk 3
Accumulating enough funds to meet a specific objective 2
Ensuring I have enough funds to feel secure in my financial future 1
7. Some investments can fluctuate, sometimes quite significantly, over very short periods
of time. How would you feel if the value of your investment varied significantly say
up or down by one third (33%) or more, over a year or less?
I wouldn’t be concerned by short term fluctuations at all 8
I would feel a little uncomfortable but wouldn’t spend too much time worrying about it 7
I would feel quite uncomfortable about these fluctuations and would monitor
my investments once a week 6
I would feel very uncomfortable about these fluctuations and would monitor
my investments on a daily basis 5
8. How important is it to you that your investments keep pace with inflation?
Not important – I would rather protect the capital 1
A little important – but I’m not prepared to take unnecessary risks 2
Fairly important – I know that I’ll need to take some risk to ensure my returns beat inflation 3
Very important – the priority is for these funds to grow significantly above inflation 4
9. What level of return do you expect your investment to achieve?
A steady return without losing any of my capital value 5
1–2% above inflation 6
3–4% above inflation 7
5% or more above inflation 8
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Financial Fact Find
c. Risk profileThe following table shows attributes for five risk profiles
Risk profileGrowth asset allocation
Expected long-term return (pre tax)
* Historical volatilityLikelihood of negative return
Minimum suggested investment time-frame
Defensive 0–25% 4.9 – 5.8% pa + or - 3.7% 1 year in 20 Up to 3 years
Moderate 20–40% 5.8 – 6.4% pa + or - 5.5% 1 year in 9At least 3–5 years
Balanced 40–60% 6.6 – 7.3% pa + or - 8.3% 1 year in 6 At least 4 years
Growth 60–80% 7.4 – 8.1% pa + or - 11.2% 1 year in 4At least 5–7 years
High Growth 75–100% 8.0 – 8.5% pa + or - 13.5% 1 year in 4 At least 6 years
* This is the indicative amount both (+) and (-) which returns over one year periods could vary from the long-term return expectation. Two thirds (i.e. 66%)
of expected returns over one year periods should lie in this range.
Defensive assets: Cash & Fixed Interest (Australian and International)
Growth assets: Property & Shares (Australian and International)
Alternative assets: May fall into defensive or growth.
(C1) (C2)
Score form Risk Profile Questionnaire:
Please indicate which Risk Profile you identify with most:
Agreed Risk Profile:
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AcknowledgementsBy signing below, I/we confirm that I/we have:
• Provided information in this document that is complete and accurate to the best of my/our knowledge.
I/we understand and accept that where I/we have indicated that I/we have chosen not to provide the
information that the advice I/we receive may not be appropriate for our needs and circumstances
• Understood Mercer’s Privacy Statement on the second page of this document
• Received, read and understood the Financial Services Guide prior to receiving financial planning services
• Received a copy of Investment Risk Essentials
• Undertaken a discussion with our financial adviser about investment risk
• Consented to the other client/partner included in this profile to be informed of all matters relating to the information gathered/
required to be gathered
CHECKLIST
I/we have provided the following:
Proof of identification
Payslip
Super statement
Investment statement
Other:
Client 1 signature Client 2 signature
Name Name
Date Date
Consent to receive advice documents (e.g. Statement of Advice) electronically
• I/we acknowledge that I/we consent to receive advice documents being sent to me/us electronically.
• I/we understand I/we can obtain a printed copy of the document at any time and at no cost from my Mercer Financial Adviser.
Client 1 signature Client 2 signature
Adviser declaration
I have discussed with the client(s) the importance of obtaining personal and financial details in order to provide recommendations
that are appropriate to their needs and circumstances.
Where the client(s) have not provided all the required details, I have warned them of the consequences that the
recommendations that I provide may not be appropriate for their needs and circumstances.
I have explained to the client(s) the relevance of the risk tolerance questions in this Fact Find with regard to determining
an appropriate risk profile. I have discussed with them their attitude to risk, and their suggested risk profile for the purposes of
investing. I have verifed the client(s) identity and collected the relevant documentation.
Adviser signature Date
Adviser use only
FSG provided Yes No
FSG version
Method provided Email In person Mail
(Only required if you proceed to receive advice)
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Authority to access information (Client 1)
To whom it may concern,
I Date of birth (Client’s name)
of (Address)
in the state of
request that all relevant information on my investments, insurances, superannuation pension or other financial information be
released to:
An Authorised Representative of Mercer Financial Advice
(Australia) Pty Ltd ABN 76 153 168 293, Australian Financial Services Licencee #411766, registered address: 33 Exhibition Street,
Melbourne VIC 3000 and staff.
Please accept a <photocopy/facsimile/electronic copy> of this letter as my authority, as the original is held by my
financial adviser.
Yours faithfully,
Signature
Date
Valid until revoked by client
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Authority to access information (Client 2)
To whom it may concern,
I Date of birth (Client’s name)
of (Address)
in the state of
request that all relevant information on my investments, insurances, superannuation pension or other financial information be
released to:
An Authorised Representative of Mercer Financial Advice
(Australia) Pty Ltd ABN 76 153 168 293, Australian Financial Services Licencee #411766, registered address: , 33 Exhibition Street,
Melbourne VIC 3000 and staff.
Please accept a <photocopy/facsimile/electronic copy> of this letter as my authority, as the original is held by my
financial adviser.
Yours faithfully,
Signature
Date
Valid until revoked by client
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To be completed by your financial adviserDate
Address
Personal financial planning adviceThank you for choosing Mercer Financial Advice (Australia) Pty Ltd to provide you with guidance on your financial situation. At our
meeting we discussed your financial planning needs and provided you with our Financial Services Guide (FSG).
You have agreed to pay for our initial advice service which includes:
• Initial meeting with a qualified financial planner
• Analysis and evaluation of your current financial position
• Understanding your financial and lifestyle objectives
• Discussion of strategies to meet your objectives
• A written financial plan that sets out in detail how your objectives will be met
• Presentation and discussion of written financial plan during a second meeting
• Clarification of any issues if required
The written financial plan will detail your:
• Current financial position
• Financial and Lifestyle objectives
• Strategic advice to achieve your objectives
• Attitudes to investment risk
• Recommended Asset Allocation
• Investment structure and Investment product recommendations
• Projections and details of calculations of various options (if applicable)
A financial plan is a dynamic document and the recommendations implemented need to be reviewed at least annually to ensure
that they are still relevant to your circumstances. Review services that are available can be discussed further at our next meeting.
Advice FeeI/we agree to pay $ (including GST) for the provision of the above services. This will be charged as an invoice/entry
fee (please circle one).
Implementation FeeShould you choose to implement our recommendations (please select one):
An implementation fee of $ (including GST) will be charged as an invoice / entry fee (please circle one).
An implementation fee will be advised within your Statement of Advice.
N/A
Name
Signature
Date
Your adviser
Authorised representative # of Mercer Financial Advice (Australia) Pty Ltd AFSL #411766
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For further information, please contact your local Mercer office or visit our
website at: www.mercerfinancialadvice.com.au
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This document has been issued by Mercer Financial Advice (Australia) Pty Ltd (MFAAPL ), ABN 76 153 168293, Australian Financial Services Licence (AFSL) #411766. ‘Mercer’ is a registered trademark of Mercer (Australia) Pty Ltd ABN 32 005 315 917.