Arrow Point New Client Signup Information Client Profile Sheet Step 1 of 1010%Account Holder InformationFirst Name*MIMiddle InitialLast Name*US Citizen?*YesNoAddress*City*State*Zip Code*SSN*Social Security NumberDate Of Birth* Date Format: MM slash DD slash YYYY Gender*MFEmail* Enter Email Confirm Email Home/Cell #*Marital Status*SingleMarriedDivorcedWidowedEmployment Status*EmployedHomemakerRetiredDisabilityUnemployedIf retired, list former occupationWork Phone NumberOccupation*Employer Name*Employer Address*Industry*Add joint owner information?*YesNoJoint Owner/Spouse InformationFirst Name*MIMiddle InitialLast Name*US Citizen?*YesNoAddress*City*State*Zip Code*SSN*Social Security NumberDate Of Birth* Date Format: MM slash DD slash YYYY Gender* M FEmail* Enter Email Confirm Email Home/Cell #*Marital Status*SingleMarriedDivorcedWidowedEmployment Status*EmployedHomemakerRetiredDisabilityUnemployedIf retired, list former occupationWork #Occupation*Employer Name*Employer Address*Employer Industry*Financial Profile & Suitability1. Investment Objective (Risk 1-5 Scale)*Income with Capital Preservation (1/5)Income with Moderate Growth (2/5)Growth with Income (3/5)Growth (4/5)Aggressive Growth (5/5)2A. Annual Income*A. $1-24,999B. $25,000-$49,000C. $50,000-$99,000D. $100,000-$249,000E. $250,000-$499,999F. $500,000-$749,000G. $750,000-$999,999H. $1,000,000 and over2B. Net Worth*A. $1-24,999B. $25,000-$49,000C. $50,000-$99,000D. $100,000-$249,000E. $250,000-$499,999F. $500,000-$749,000G. $750,000-$999,999H. $1,000,000 and over2C. Liquid Net Worth*A. $1-24,999B. $25,000-$49,000C. $50,000-$99,000D. $100,000-$249,000E. $250,000-$499,999F. $500,000-$749,000G. $750,000-$999,999H. $1,000,000 and over3. Source of wealth and income? (e.g. Business Owner, Employment Compensation, Inheritance, Real estate, etc.)*4. Federal Income Tax Bracket*0%10%12%21%22%24%32%35%37%5. Net Worth Composition - indicate percentage of assets. Put "0" if no allocation. All of the fields must add up to equal 100%. Check/Savings*(indicate percentage of assets, put "0" if no allocation)Mutual Funds*(indicate percentage of assets, put "0" if no allocation)Equities/Stocks*(indicate percentage of assets, put "0" if no allocation)Bonds*(indicate percentage of assets, put "0" if no allocation)Insurance*(indicate percentage of assets, put "0" if no allocation)Annuities*(indicate percentage of assets, put "0" if no allocation)Real Estate*(indicate percentage of assets, put "0" if no allocation)Alternative Investment*Other(indicate percentage of assets, put "0" if no allocation)Other(explain)6. Investment Time Horizon*1-3 Years3-5 Years5-10 Years10+ YearsDo you have liquidity needs from this account?*YesNoWhen do you need these funds?*0-3 YearsMore than 3 yearsDollar amount needed*7. Investment Experience (Enter number of years, put "0" if none)Annuities*(Enter number of years, put "0" if none)Mutual Funds*(Enter number of years, put "0" if none)Partnerships*(Enter number of years, put "0" if none)Margin*(Enter number of years, put "0" if none)Stocks*(Enter number of years, put "0" if none)Bonds*(Enter number of years, put "0" if none)Options*(Enter number of years, put "0" if none)Other (please specify)*(Enter number of years, put "0" if none)Beneficiary Contact InformationWould you like to add beneficiaries now, or later (if the account moves)?*NowLaterBeneficiary Contact InformationBeneficiary NameRelationshipSSNDOBPercentagePrimary or Contingent P CWould you like to add a 2nd beneficiary?YesNoLaterBeneficiary NameRelationshipSSNDOBPercentagePrimary or Contingent P CWould you like to add a 3rd beneficiary?YesNoLaterBeneficiary NameRelationshipSSNDOBPercentagePrimary or Contingent P CWould you like to add a 4th beneficiary?YesNoLaterBeneficiary NameRelationshipSSNDOBPercentagePrimary or Contingent P CWould you like to add a 5th beneficiary?YesNoLaterBeneficiary NameRelationshipSSNDOBPercentagePrimary or Contingent P CTrusted ContactWould you like to your Trusted Contact information now, or later (if the account moves)?*NowLaterTrusted Contact InformationNameRelationshipPhone NumberAddressEmail AddressAccounts To Be OpenedDo you know which accounts you need to open, or would you like Duncan and Bruce to help?*I know which accounts I need to openI would like Duncan and Bruce to helpBruce KelmTel: (707) 332-4159Email: Bruce@ArrowPointWealth.comDuncan KelmTel: (707) 280-0824Email: Duncan@ArrowPointWealth.comAccounts To Be OpenedACCOUNT #1Account Owner Name (Individual, Trust Name, Corp Name, Etc)*Account Type*IndividualIRAJointTrustCorporateAccount Number(If you don't have it, upload statement on next page or Call/Email Duncan and Bruce to help)Would you like to add a 2nd account?*YesNoACCOUNT #2Account Owner Name (Individual, Trust Name, Corp Name, etc)*Registration Type*IndividualIRAJointTrustCorpAccount Number(If you don't have it, upload statement on next page or Call/Email Duncan and Bruce to help)Would you like to add a 3rd account?*YesNoACCOUNT #3Account Owner Name (Individual, Trust Name, Corp Name, etc)*Registration Type*IndividualIRAJointTrustCorpAccount Number(If you don't have it, upload statement on next page or Call/Email Duncan and Bruce to help)Would you like to add a 4th account?*YesNoACCOUNT #4Account Owner Name (Individual, Trust Name, Corp Name, etc)*Registration Type*IndividualIRAJointTrustCorporateAccount Number(If you don't have it, upload statement on next page or Call/Email Duncan and Bruce to help)Would you like to add a 5th account?*YesNoACCOUNT #5Account Owner Name (Individual, Trust Name, Corp Name, etc)*Registration Type*IndividualIRAJointTrustCorpAccount NumberApproximiate Value*Would you like to add a 6th account?*YesNoACCOUNT #6Account Owner Name (Individual, Trust Name, Corp Name, etc)*Registration Type*IndividualIRAJointTrustCorporateAccount Number(If you don't have it, upload statement on next page or Call/Email Duncan and Bruce to help)Would you like to add a 7th account?*YesNoACCOUNT #7Account Owner Name (Individual, Trust Name, Corp Name, etc)*Registration Type*IndividualIRAJointTrustCorporateAccount Number(If you don't have it, upload statement on next page or Call/Email Duncan and Bruce to help)Would you like to create an 8th account?*YesNoACCOUNT #8Account Owner Name (Individual, Trust Name, Corp Name, etc)*Registration Type*IndividualIRAJointIndividualCorporateAccount Number(If you don't have it, upload statement on next page or Call/Email Duncan and Bruce to help)Would you like to create a 9th account?*YesNoACCOUNT #9Account Owner Name (Individual, Trust Name, Corp Name, etc)*Registration Type*IndividualIRAJointTrustCorporateAccount Number(If you don't have it, upload statement on next page or Call/Email Duncan and Bruce to help)Would you like to create a 10th account?*YesNoACCOUNT #10Account Owner Name (Individual, Trust Name, Corp Name, etc)*Registration Type*IndividualIRAJointTrustCorporateAccount Number(If you don't have it, upload statement on next page or Call/Email Duncan and Bruce to help)Would you like to create an 11th account?*YesNo To create additional accounts, please reach out to a partner and we will assist you.Statement Upload & Additional NotesStatement Upload*will be required in order to have your portfolio reviewed. If you do not have it on hand, we encourage you to still submit your portfolio, and email us your statement as soon as you can.Additional Notes
