Arrow Point New Client Signup Information Client Profile Sheet Step 1 of 10 10% Account Holder InformationFirst Name* MI Middle InitialLast Name* US Citizen?* Yes No Address* City* State* Zip Code* SSN* Social Security NumberDate Of Birth* MM slash DD slash YYYY Gender* M F Email* Enter Email Confirm Email Home/Cell #* Marital Status* Single Married Divorced Widowed Employment Status* Employed Homemaker Retired Disability Unemployed If retired, list former occupation Work Phone Number Occupation* Employer Name* Employer Address* Industry* Add joint owner information?* Yes No Joint Owner/Spouse InformationFirst Name* MI Middle InitialLast Name* US Citizen?* Yes No Address* City* State* Zip Code* SSN* Social Security NumberDate Of Birth* MM slash DD slash YYYY Gender* M F Email* Enter Email Confirm Email Home/Cell #* Marital Status* Single Married Divorced Widowed Employment Status* Employed Homemaker Retired Disability Unemployed If retired, list former occupation Work # 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 Years 3-5 Years 5-10 Years 10+ Years Do you have liquidity needs from this account?* Yes No When do you need these funds?* 0-3 Years More than 3 years Dollar 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)?* Now Later Beneficiary Contact InformationBeneficiary Name Relationship SSN DOB Percentage Primary or Contingent P C Would you like to add a 2nd beneficiary? Yes No Later Beneficiary Name Relationship SSN DOB Percentage Primary or Contingent P C Would you like to add a 3rd beneficiary? Yes No Later Beneficiary Name Relationship SSN DOB Percentage Primary or Contingent P C Would you like to add a 4th beneficiary? Yes No Later Beneficiary Name Relationship SSN DOB Percentage Primary or Contingent P C Would you like to add a 5th beneficiary? Yes No Later Beneficiary Name Relationship SSN DOB Percentage Primary or Contingent P C Trusted ContactWould you like to your Trusted Contact information now, or later (if the account moves)?* Now Later Trusted Contact InformationName Relationship Phone Number Address Email Address Accounts 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 open I would like Duncan and Bruce to help Bruce Kelm Tel: (707) 332-4159 Email: [email protected] Duncan Kelm Tel: (707) 280-0824 Email: [email protected] Accounts To Be OpenedACCOUNT #1Account Owner Name (Individual, Trust Name, Corp Name, Etc)* Account Type* Individual IRA Joint Trust Corporate Account 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?* Yes No ACCOUNT #2Account Owner Name (Individual, Trust Name, Corp Name, etc)* Registration Type* Individual IRA Joint Trust Corp Account 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?* Yes No ACCOUNT #3Account Owner Name (Individual, Trust Name, Corp Name, etc)* Registration Type* Individual IRA Joint Trust Corp Account 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?* Yes No ACCOUNT #4Account Owner Name (Individual, Trust Name, Corp Name, etc)* Registration Type* Individual IRA Joint Trust Corporate Account 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?* Yes No ACCOUNT #5Account Owner Name (Individual, Trust Name, Corp Name, etc)* Registration Type* Individual IRA Joint Trust Corp Account Number Approximiate Value* Would you like to add a 6th account?* Yes No ACCOUNT #6Account Owner Name (Individual, Trust Name, Corp Name, etc)* Registration Type* Individual IRA Joint Trust Corporate Account 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?* Yes No ACCOUNT #7Account Owner Name (Individual, Trust Name, Corp Name, etc)* Registration Type* Individual IRA Joint Trust Corporate Account 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?* Yes No ACCOUNT #8Account Owner Name (Individual, Trust Name, Corp Name, etc)* Registration Type* Individual IRA Joint Individual Corporate Account 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?* Yes No ACCOUNT #9Account Owner Name (Individual, Trust Name, Corp Name, etc)* Registration Type* Individual IRA Joint Trust Corporate Account 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?* Yes No ACCOUNT #10Account Owner Name (Individual, Trust Name, Corp Name, etc)* Registration Type* Individual IRA Joint Trust Corporate Account 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?* Yes No To create additional accounts, please reach out to a partner and we will assist you. Statement Upload & Additional NotesStatement UploadMax. file size: 100 MB.*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
