Consilium Client Fact Find – Comprehensive Version April 2019 Page | 1
CLIENT FACT FIND – COMPREHENSIVE
This Client Fact Find is issued by:
Consilium Advice Pty Ltd (‘Consilium’)
Australian Financial Services Licence No. 424974
Client Name/s
…………………………………………………………………………………………..
……………………………………………………………………………………………
Date
Consilium Authorised
Representative Name
Byron James Littlewood BA ADFS(FP) AFA, AR 255 833 of
B. J. Littlewood & Associates Pty Ltd trading as
Littlewood Financial Advisers ABN 14 003 560 950; CAR 255 455
Important Notice
Why do we ask you to complete the Data Collection Form?
The Client Fact Find Form relates to your personal and financial objectives, current financial situation, risk profile
and specific investment needs. The information we collect will ensure that we have sufficient understanding of
your current situation to provide you with financial advice that is appropriate to you. You have the right not to
provide us with this information, however, if you do not we may be unable to provide you with personal financial
advice.
Your Privacy Rights
Consilium’s commitment to protecting your privacy means that, amongst other things, in the process of
collection, storage, accuracy, use and disclosure of your personal information, your privacy is respected.
Consilium is bound by the National Privacy Principles under the Privacy Act. This policy explains how we treat
information that we hold about you. It sets out the types of information we collect, how we may use that
information and who we allow to access it. In addition to this policy, we will on occasions provide you with
specific notice about how we use particular information that we collect from you.
Consilium Client Fact Find – Comprehensive Version April 2019 Page | 2
SCOPE OF THE INITIAL ADVICE
Please indicate with a tick the areas below in which you are seeking initial advice from Consilium
Advice Sought CLIENT 1 CLIENT 2
Wealth
Accumulation
Advice on the investment of my surplus income
Desirability of borrowing to invest
Providing for anticipated capital spending
Super
Advice on building my super assets
Consolidation of my individual super funds into a single fund
Desirability of the suitability of a Self-Managed Super Fund
Income
Advice on generating a retirement income stream
Obtain Centrelink benefits
Producing a required level of after tax income from your investments
Wealth
Protection
Analysis of my risk insurance needs
Review of your existing risk insurance policies
Investments
Construction of an investment portfolio using an available lump sum
Review of existing investments (managed funds/shares)
Improving
Cash Flow
Advice on salary packaging
Meeting my liquidity requirements
Analysis of my mortgage and investment loans
Impact of taxation on my financial position
Other
(please
specify)
Consilium Client Fact Find – Comprehensive Version April 2019 Page | 3
PERSONAL DETAILS
Please provide your personal details below
CLIENT 1 CLIENT 2
Title
First Name
Middle Name
Surname
Preferred Name
Date of Birth / / / /
Health Status
(please circle)
Excellent Good
Fair Poor
Excellent Good
Fair Poor
Marital Status
(please circle)
Single Married De-facto
Widowed Divorced
Single Married De-facto
Widowed Divorced
Smoker? (please circle) Yes / No Yes / No
Home Phone ( )
Work Phone ( ) ( )
Mobile
Home Fax ( ) ( )
Work fax ( ) ( )
Home Email
Work Email
Residential Address
OTHER PROFESSIONAL ADVISERS
Please provide details of other professional advisers you currently use
Name Company Contact No Email
Accountant
Solicitor/Lawyer
Other
Consilium Client Fact Find – Comprehensive Version April 2019 Page | 4
KEY GOALS AND OBJECTIVES
Please indicate your specific goals and objectives, including the estimated time when you
wish to meet these objectives
FINANCIAL GOALS
e.g. Retirement, borrow to invest
LIFESTYLE GOALS
e.g. Holidays, upgrade car
What goals and objectives do you wish to meet in the next 0 to 5 years?
What goals and objectives do you wish to meet in the next 6 to 10 years?
What goals and objectives do you wish to meet in the next 10 plus years?
What is your planned retirement age?
What is your desire level of income in retirement net of tax?
$ _ (Client 1)
$ _ (Client 2)
$ _ (Combined)
If our analysis indicates that you may not meet your retirement goals by the planned retirement date, would
you (please tick options you may consider):
Retire on the planned date and compromise on the level of retirement income
Consider deferring retirement to a later date
Increase the rate of capital drawdown
Consider strategies to build wealth, such as gearing (borrowing to invest)
Seek out ways of reducing expenses to allow you to save more
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DEPENDANT DETAILS
Please complete details of your dependents below.
1 2 3 4
Name
Gender
Date of Birth
Relationship
Funding Requirements (pa) $ $ $ $
Number of years required?
EMPLOYMENT DETAILS
Please complete your employment details below, including your overall salary package
CLIENT 1 CLIENT 2
Occupation
Employer Name
Employment Status
(please circle)
Self-employed Full-time
Part-time Casual
Self-employed Full-time
Part-time Casual
Dated joined employer / / / /
If you are Self-Employed, please provide your business details below
Business Name
What is your principal trading activity?
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INCOME AND EXPENSE DETAILS
Please complete your income and expenditure details in the following tables.
Income CLIENT 1 CLIENT 2
Gross salary (net of employer and salary
sacrifice contributions)
Estimated bonus
Investment income
Other income
Total Gross Income
Expenses
Housing & Utilities (mortgage repayments, rent, council rates, phone,
internet, electricity, gas, water) $
General Household (food, alcohol , groceries, clothing, entertainment, healthcare
& medical) $
Vehicles and Transport (lease/loan repayments, registration, fuel, servicing) $
Insurance (health insurance, home and contents, motor vehicle, life, TPD,
critical illness and income protection) $
Other expenses (children’s education, holidays/travel, tax deductible
donations, after tax super contributions) $
Total $
How much do you estimate you save each month? $
Where are you directing these savings?
(e.g. mortgage, bank account, managed fund)
Do you expect any future changes to your income/expenditure position?
Are you receiving any Government benefits?
If yes, which one? Please also specify amount.
Under some income protection policies, you can cover Superannuation Guarantee (SG)
and salary sacrifice contributions. Please enter your annual SG and salary sacrifice
contributions below.
SG contribution (pa) $ $
Salary sacrifice (pa) $ $
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PERSONAL ASSETS AND LIABILITIES
Please list your assets and liabilities below. Please indicate those assets that you would be
comfortable selling in the event of permanent disability or death in the “Retain?” column.
Asset Name Description Owner Current
Value
Outstanding
liabilities
Retain?
(Y/N)
Family Home $ $
Holiday Home $ $
Home Contents $ $
Motor Vehicles $ $
Boats and caravan $ $
Other (please specify) $ $
Total $ $
Are you expecting any changes to your assets and liabilities? (e.g. sale of your
home, receiving an inheritance).
If yes, please provide details, including the expected dollar amount.
Yes No
$
Do you require cash funds to be kept liquid in case of emergency or
unexpected expenses? If yes, how much?
Yes No
$
Consilium Client Fact Find – Comprehensive Version April 2019 8
INVESTMENT ASSET AND LIABILITY DETAILS
Please include details of your existing investment assets below. If you own more than will fit in the spaces provided, please list the
total value below and provide a separate summary of your holding details
Asset Name Owner No. of units Purchase Date Purchase Cost Current Value Outstanding
Liability
Est.
Income
Retain
Yes/No
Cash A
ssets
$ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
Renta
l
pro
pert
y $ $ $ $
$ $ $ $
$ $ $ $
Managed F
unds $ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
Direct
Share
s $ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
$ $ $ $
Oth
er
$ $ $ $
$ $ $ $
$ $ $ $
Total $ $ $ $
Consilium Client Fact Find – Comprehensive Version April 2019 9
LIABILITY DETAILS
You can provide more detailed information on your liabilities below. This will assist us in reviewing and advising on your cash flow
situation
Liability Lender Borrower Amount
Outstanding
Interest
Rate
(%)
Payment Type
(P& I, Interest
only)
Payment
Amount
Payment
Frequency
Tax
Deductible
(Yes/No)
Mortgage (Family
Home) $ % $
Holiday Home $ % $
Motor Vehicle Finance $ % $
Investment Loan 1 $ % $
Investment Loan 2 $ % $
Investment Loan 3 $ % $
Margin Loan $ % $
Personal Loan $ % $
Credit Card 1 $ % $
Credit Card 2 $ % $
Other $ % $
Other $ % $
Total Liabilities $ $
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SUPERANNUATION DETAILS
Please complete your superannuation details below, including annual contributions and
insurance cover
Fund 1 Fund 2 Fund 3 Fund 4
Member
Fund Name
Eligible Start Date
Is this a Defined Benefit Fund Yes No Yes No Yes No Yes No
Would you like this fund reviewed? Yes No Yes No Yes No Yes No
Current Value $ $ $ $
Taxable component $ $ $ $
Tax free component $ $ $ $
Non-preserved component $ $ $ $
Super Guarantee contributions (pa) $ $ $ $
Salary sacrifice contributions (pa) $ $ $ $
Personal deductible contributions
(pa) $ $ $ $
Non-Deductible contributions (pa) $ $ $ $
Life Insurance (sum insured) $ $ $ $
Total & Permanent Disability cover
(sum insured) $ $ $ $
Salary Continuance cover
(benefit per month)
$ for
years
$ for
years
$ for
years
$ for
years
Total Annual Premium $ $ $ $
Do you have a Binding Death
Nomination in place? Yes No Yes No Yes No Yes No
Please list the underlying investment options below:
Investment 1 $ $ $ $
Investment 2 $ $ $ $
Investment 3 $ $ $ $
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Investment 4 $ $ $ $
Investment 5 $ $ $ $
Investment 6 $ $ $ $
Investment 7 $ $ $ $
Investment 8 $ $ $ $
SELF-MANAGED SUPER FUND DETAILS
Please complete the table for existing SMSF financials and member details
SMSF Name
Date SMSF was established
SMSF ABN
Who are the trustees of the SMSF?
Who administers the SMSF?
Member 1 Member 2 Member 3 Member 4
Member Name
Status (accumulation or pension)
Eligible Service Date
Investment strategy
Current member balance $ $ $ $
Tax free balance $ $ $ $
Annual contributions
- Amount
- Type
Insurance cover
Do you have a binding nomination?
Who have you specified to
receive benefits upon death?
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PENSIONS AND ANNUITIES
Please complete details of any pensions/annuities you are receiving below
Fund 1 Fund 2 Fund 3 Fund 4
Owner
Pension Fund provider
Source (please circle) Super monies
Non super
Super monies
Non super
Super monies
Non super
Super monies
Non super
Type (please circle)
Account-based
pension
TTR pension
Complying
annuity
TAP
Account-based
pension
TTR pension
Complying
annuity
TAP
Account-based
pension
TTR pension
Complying
annuity
TAP
Account-based
pension
TTR pension
Complying
annuity
TAP
If annuity, what term has
been selected? (please
circle)
_ years
Lifetime
_ years
Lifetime
years
Lifetime
_ years
Lifetime
Date commenced
Purchase price $ $ $ $
Account balance $ $ $ $
Annual income $ $ $ $
Residual Capital Value $ $ $ $
Tax deductible amount (pa) $ $ $ $
Undeducted purchase price $ $ $ $
Past commutations/withdrawals $ $ $ $
Asset test exempt (please circle) Yes No Yes No Yes No Yes No
Reversionary Yes No Yes No Yes No Yes No
Who is the reversionary?
If you are currently receiving an overseas pension, or will receive one
in the future, please provide details (including amount)
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EMPLOYER TERMINATION PAYMENTS
Please complete details of any employer termination payments you have received or are
expecting to receive below
CLIENT 1 CLIENT 2
Termination Date / / / /
Ex-gratia/golden handshake
amount $ $
Approved early retirement amount $ $
Long-service leave amount
(after tax) $ $
Annual leave amount (after tax) $ $
Sick leave amount (after tax) $ $
Other $ $
Are you receiving a redundancy?
If yes, please provide a copy of
the payment details as provided
by your employer
Yes No Yes No
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EXISTING RISK INSURANCE
Please provide details of your existing risk insurance, including life, TPD, trauma and income
protection
Policy 1 Policy 2 Policy 3 Policy 4
Policy Type
(please circle)
Life
TPD
Trauma
Income Protection
Salary Continuance
Life
TPD
Trauma
Income Protection
Salary Continuance
Life
TPD
Trauma
Income Protection
Salary Continuance
Life
TPD
Trauma
Income Protection
Salary Continuance
Policy Owner
Life Insured
Insurer
Sum Insured $ $ $ $
Annual Premium $ $ $ $
Premium
Frequency
Renewal Date / / / / / / / /
Income protection
waiting period
Income protection
benefit period
Is this policy in
superannuation? Yes No Yes No Yes No Yes No
YOUR EXISTING GENERAL INSURANCE
Please provide details of your existing general insurance policies below
Policy 1 Policy 2 Policy 3 Policy 4
Type Health Insurance House Home Contents Motor Vehicle
Insurer
Policy Owner
Sum Insured $ $ $ $
Annual Premium $ $ $ $
Premium Frequency
Renewal Date
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TRUST DETAILS
Please complete the table for existing Trust financial and beneficiary details
Trust Name
Type of Trust?
Fixed
Unit
Discretionary
Hybrid
Fixed Unit
Discretionary
Hybrid
Fixed
Unit
Discretionary
Hybrid
Fixed
Unit
Discretionary
Hybrid
Date Trust was established
ABN
Maximum term of the Trust
Appointer of the Trust
Trustee
Beneficiary 1 Beneficiary 2 Beneficiary 3 Beneficiary 4
Beneficiary Name
Beneficiary date of birth
Has a Trust election been made?
If yes, who is the
specified individual?
COMPANY DETAILS
Please complete the table for existing Company details
Company Name
ABN
Director(s)
Description of shares
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ESTATE PLANNING
Please provide details of your current estate planning situation
Client 1 Client 2
Do you have a valid Will? Yes No Yes No
Date Will was drafted / / / /
Date Will was most recently reviewed / / / /
Power of Attorney Yes No Yes No
Enduring Power of Attorney Yes No Yes No
Enduring guardianship Yes No Yes No
Testamentary Trust Yes No Yes No
Do you have a funeral plan in place? Yes No Yes No
In which State was your estate planning documents prepared?
Consilium Client Fact Find – Comprehensive Version April 2019 Page | 17
YOUR ATTITUDE TO RISK AND RETURN
Client 1 Client 2
Question 1
How confident are you with investment matters?
a. You are an experienced investor. You use research and other investment information to make investment decisions. You understand the various factors, which influence investment performance.
b. You understand that markets fluctuate and that different market sectors offer different income, growth and taxation characteristics.
c. You are confident about some investments. You don’t fully understand the share market.
d. You are not very confident when it comes to investments.
e. You are not confident with investments and feel uncomfortable with the complexity.
Question 2
What level of risk are you prepared to apply to your investment?
a. You would be willing to take substantial risk for substantial rewards.
b. Short-term losses are acceptable as long as the probability of a gain over the long-term is reasonable.
c. Moderate volatility is acceptable as long as medium term returns are positive.
d. You require low volatility with consistent positive returns.
e. Security of capital is paramount.
Question 3
What degree of investment risk have you taken in the past?
a. Large
b. Fair amount of calculated risk
c. Moderate degree of risk
d. Not much
e. Risk free only
Question 4
Investments such as cash offer highest security but have no capital growth and inflation can reduce the purchasing power. Considering this, which is more important for you?
a. More important to preserve purchasing power rather than security
b. Important to preserve purchasing power but also consider any risk
c. Look for a balance between security and preserving purchasing power
d. More important to have security than worry about inflation
e. Protecting the principle is the most important priority
Question 5
If you had to choose between a secure job with a reasonable salary and a high paid job with less security, which would you pick?
a. Definitely the highly paid job.
b. Probably the highly paid job with less security
c. Would have to consider other aspects
d. Probably the secure job with a reasonable salary
e. Definitely the secure job
Consilium Client Fact Find – Comprehensive Version April 2019 Page | 18
Client 1 Client 2
Question 6
In light of current interest rates, what return do you reasonably expect to achieve from your investment?
a. Over 12%
b. Current inflation plus 8% p.a.
c. Current inflation rate plus 5% p.a.
d. Current inflation rate plus 2% p.a.
e. A reasonable return without losing any capital
Question 7
If you didn’t need your capital for more than 10 years, for how long would you be prepared to see your investment performing poorly before you cashed in?
a. Up to 2 years
b. Up to 1 year
c. Up to 6 months
d. Up to 3 months
e. You would cash in if there was any loss in value
Question 8
Your future income needs are such that a more aggressive investment strategy is recommended in order to achieve them. Which of the following best describes how you feel?
a. Happy with a more aggressive strategy – meeting your objectives is more important
b. Comfortable with an aggressive strategy however would watch closely to minimise any losses
c. Accept some extra risk in order to move towards the objective, but also prepared to reduce the objective slightly
d. A little extra risk is acceptable. Reduction of future objectives would be acceptable
e. A more aggressive strategy frightens you. You would rather reduce your future income needs significantly than take the risk
Question 9
The greatest tax savings are generally obtained from riskier investments, such as shares. Which balance do you feel most comfortable with?
a. Unstable, but potentially higher returns, maximising tax savings
b. Moderate variability in returns, reasonable tax savings
c. Some variability in returns, some tax savings
d. Stable, reliable returns, minimal tax savings
e. Preferably guaranteed returns, before tax savings
Question 10
What would your reaction be if 6 months after placing your investments, you discover that, in line with what is happening in the financial markets generally, your portfolio has decreased in value by 20%?
a. You would invest more funds to lower your average investment price, expecting future growth
b. This was a calculated risk and you would leave the investments in place, expecting performance to improve
c. You would be concerned, but would wait to see if the investments improve
d. You would cut your losses and transfer your funds into more secure investment sectors
e. Horror. Security of your capital is critical and you did not intend to take risks
Consilium Client Fact Find – Comprehensive Version April 2019 Page | 19
Investor Risk Profile Score
Client Partner Client Partner
Number of A X 5
Number of B X 4
Number of C X 3
Number of D X 2
Number of E X 1
Total Investor Score
Please note that this questionnaire is aimed at establishing your Individual Risk Profile. It is not important
whether your score is high or low.
Please match your score with the investor profiles in the table below.
Score Investment Profile
Less than 12 Secure
Between 13 – 20 Conservative
Between 21 – 28 Moderately Conservative
Between 29 – 36 Balanced
Between 37 – 44 Growth
Greater than 45 High Growth
The asset allocation of each of the Investment Profiles is shown in the table below.
Investment Profile
Cash Australian
Fixed Interest
Int’l Fixed Interest
Australian Shares
Int’l Shares
Australian Property
Int’l Property
Other Time frame (Yrs)
Secure 55.2% 35.1% 9.7% 0.0% 0.0% 0.0% 0.0% 0.0% > 1
Conservative 36.2% 22.9% 21.1% 10.3% 9.4% 0.1% 0.0% 0.0% 1 – 3
Moderately Conservative
7.3% 27.0% 23.4% 19.4% 17.7% 5.2% 0.0% 0.0% 3 – 5
Balanced 7.0% 19.7% 15.5% 26.8% 22.8% 4.6% 3.6% 0.0% 5
Growth 9.0% 5.1% 5.6% 36.8% 33.8% 5.2% 4.5% 0.0% 7
High Growth 8.7% 1.1% 0.8% 40.2% 39.5% 5.2% 4.5% 0.0% 10
Notes:
a. The allocations recommended above do not add up to 100%
b. “Other” asset class represents alternative investments such as hedge funds
Now, please answer the following questions. We are attempting to ensure that the chosen risk profile is
matched to your investment time-frame and tolerance to risk.
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Is your investment time-frame consistent with the suggested time-frame for your
chosen risk profile? Yes No
Are you comfortable with the risk level of the chosen risk profile? Yes No
Borrowing to invest can help certain investors increase their wealth over time. However, borrowing increases
investment risk. Borrowing to invest normally involves investing in growth assets such as Australian and
international shares and property. Please answer the following questions to help us understand whether
borrowing may be appropriate for you:
Borrowing to invest
Have you ever borrowed to invest before? (please circle) Yes No
Are you prepared to borrow to invest? (please circle) Yes, if professionally advised
No, I do not like debt
If yes, how much would you be prepared to borrow? $
What assets are you prepared to use as security? (please circle) Family home
Managed funds
Direct shares
Please read the profile descriptions above and if you feel there is a difference in the profile you feel most
comfortable with and profile indicated by the questionnaire score, please state your selected investor profile
and the reasons why you feel this way.
If you are not comfortable with the recommended profile (or you and your partner have different profiles) we
can start with the lower risk profile and review it over time, as you become more comfortable with investment
markets. But please be aware that risk and return and closely related, so by choosing a lower risk profile, you
are choosing to reduce your long term return expectations.
CLIENT 1 CLIENT 2
Agreed Profile
Please sign the following to confirm that you acknowledge the chosen risk profile
I/We confirm that the details recorded in this workbook are a true and accurate description of my/our feelings
towards the questions raised and I/We agree that the selected investor risk profile is accurate and can be
used as a basis for recommending an investment portfolio.
Please note that your selected investor risk profile and asset allocation are based on information provided by
you and on our knowledge of the various asset sectors and the existing investment environment. As it is not
possible to accurately predict the future corporate, legislative and economic factors, you should regard these
recommendations as a guide only.
No guarantee is expressed or implied to any projections or performance of any assets in the recommendations.
Signature:
Client 1 ____________________________ Date / /
Client 2 ____________________________ Date / /
Please sign the following to confirm that you acknowledge the information included in the
Client Fact Find Form
Consilium Client Fact Find – Comprehensive Version April 2019 Page | 21
The information in this form accurately reflects my/our current financial situation.
I/We am/are not aware of any further information which would be relevant or assist Consilium
when providing advice and/or recommendations to me/us.
I/We understand that any advice or recommendation provided by Consilium will be based solely on
the information supplied in this Client Fact Find Form and any other personal information I/we
provide.
I/We am/are aware that a photocopy of the Client Fact Find Form is available upon request.
I/We confirm that that I/we was/were issued with the Financial Services Guide by Consilium before
I/we provided details of my/our personal circumstances set out in this form.
I/We understand that Consilium is not authorised to provide specific advice in relation to general
insurance, taxation, family law, drafting estate planning documents and trusts. Any advice on these
matters will be provided by qualified specialist advisers as appropriate. I/We also understand that
Consilium may receive a share of the commission payable and/or payments to refer me/us to other
specialist advisers. These payments will be disclosed to me/us at the time if referral.
I/We confirm that I/we was/were issued with a copy of the Consilium Privacy Policy contained in
the Financial Services Guide.
Signature:
Client 1 ____________________________
Date / /
Client 2 ____________________________
Date / /
Consilium Authorised Representative ___________________________
Byron James Littlewood
Date / /
Consilium Client Fact Find – Comprehensive Version April 2019 Page | 22
NOTES
Consilium Client Fact Find – Comprehensive Version April 2019 Page | 23