Your Personal Balance Sheet - Afinal - 8759

FINANCIAL
PLANNING
Your Personal
Balance Sheet
Date
Personal Information
Client
Name:
Address:
Employer:
Position:
Telephone (home): Telephone (work):
Date of birth:
Spouse
Name:
Employer:
Position:
Telephone (home): Telephone (work):
Date of birth:
Children
Name Date of birth Marital status
Other dependents:
DESJARDINS FINANCIAL SECURITY

Balance Sheet
Assets
Cash Client Spouse
Savings and chequing account $ $

Notes receivable
Life insurance (cash surrender value)
Investments
Stocks
Bonds
Term deposits
Mutual funds
Registered Plans
Annuities
Registered pension plans
Equity interest in a company
Loan to a private corporation
Mortgages receivable
Fixed Assets
Residence
Secondary residence
Income property
Personal Assets
Vehicles (car, RV, etc.)
Professional equipment
Furnishings
Clothing, jewellery
Works of art
Collections
Other assets
Total Assets $ $
YO U R P E R S O N A L B A L A N C E S H E E T
Liabilities
Short-term Client Spouse
Accounts payable $ $
Taxes payable
Credit Cards
Long-term Debts
Personal loans
Mortgage loan(s)
Other
Total Liabilities $ $
Net Worth (Assets minus Liabilities) $ $

Balance Sheet Details
Assets
Cash
Financial Type of Average balance Rate of return
institution account ($) (%)
Client
Spouse
Bonds, Guaranteed Investment Certificates

Description Current market Maturity Rate of return
value ($) date (%)
Client
Spouse
Notes Receivable, Mortgages Receivable, etc.

Description Current market Maturity Rate of return
value ($) date (%)
Client
Spouse
Stocks, Mutual Funds (please attach a statement)
Description Purchase date Initial investment Current value
($) ($)
Client
Spouse
Registered Plans (RRSPs, RRIFs, LIRAs, LIFs, RESPs)

Institution Issue Type of Initial invest- Current value Rate of return
date investment ment ($) ($) (%)
Client
Spouse

Registered Pension Plans
Defined Contribution Pension Plan Client Spouse
Accumulated value ($)
Annual contributions ($)
Defined Benefit Pension Plan Client Spouse
Participation rate (%)

Number of years of participation
Other Fixed Assets
Description Residence Secondary Income

Residence property
% personal use
% commercial use
Purchase Date
Purchase Price
Land $ $ $
Building $ $ $
Leasehold Improvements
$ $ $
Market Value
Land $ $ $
Building $ $ $
Other Fixed Assets (cont’d)
Description Residence Secondary Income

Residence property
Current Market Value

Land $ $ $
Building $ $ $
Mortgage Loan or Financing

Financial institution
Principal/balance $ $ $
Interest rate % % %
Amortization period
Renewal date
Monthly payment $ $ $
Insurance (life and disability), yes or no
Net Rental Income

Personal Assets
Personal-Use Property (e.g.: car, furnishings or boat)

Description Purchase date Purchase price Market value
($) ($)
Client
Spouse
Valuable Assets (art work, jewellery, collections [e.g.: stamps or coins])
Description Purchase Purchase price Market value

date ($) ($)
Client
Spouse
Balance Sheet Details
Liabilities
Personal Loans
Type of loan Principal/ Interest rate Monthly Maturity Insured
Balance ($) (%) payment ($) date yes/no
Client
Spouse

You, Your Representative and
Desjardins Financial Security:
A Strong Team
Whether it’s a question of money or some other
important project, the team working for you can
make all the difference in the world. Desjardins
Financial Security invites you to consult one of its
financial experts and optimize the odds for realizing
your dreams and reaching your retirement objectives.
Imagine what we can do together

for your financial planning!
More than one Hundred Years of Expertise

Desjardins Financial Security specializes in providing financial
security through a sound combination of insurance and
investment products. Over five million Canadians from coast to
coast rely on Desjardins Financial Security to protect and grow
their capital. A subsidiary of the Desjardins Group, the largest
integrated cooperative financial group in Canada, with over
$100 billion in assets, Desjardins Financial Security has offices
in Vancouver, Calgary, Regina, Winnipeg, Toronto, Ottawa,
Montreal, Quebec City, Levis, Halifax and St. John’s.
www.desjardinsfinancialsecurity.com
03103E01 (05-10)
TM
Trademark owned by Desjardins Financial Security Life Assurance Company

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FINANCIAL

Telephone (home): Telephone (work):

Telephone (home): Telephone (work):

Name Date of birth Marital status

DESJARDINS FINANCIAL SECURITY

Cash Client Spouse

Savings and chequing account $ $

Life insurance (cash surrender value)

Registered pension plans

Equity interest in a company

Loan to a private corporation

Short-term Client Spouse

Net Worth (Assets minus Liabilities) $ $

DESJARDINS FINANCIAL SECURITY

Bonds, Guaranteed Investment Certificates

Notes Receivable, Mortgages Receivable, etc.

Registered Plans (RRSPs, RRIFs, LIRAs, LIFs, RESPs)

DESJARDINS FINANCIAL SECURITY

Accumulated value ($)

Annual contributions ($)

Defined Benefit Pension Plan Client Spouse

Participation rate (%)

Other Fixed Assets

Description Residence Secondary Income

Description Residence Secondary Income

Current Market Value

Mortgage Loan or Financing

Net Rental Income

DESJARDINS FINANCIAL SECURITY

Personal-Use Property (e.g.: car, furnishings or boat)

Valuable Assets (art work, jewellery, collections [e.g.: stamps or coins])

Description Purchase Purchase price Market value

DESJARDINS FINANCIAL SECURITY

Imagine what we can do together

More than one Hundred Years of Expertise

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