Triple Cord

Client questionnaire

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Confidential client intake

Personal Asset & Liability Disclosure Questionnaire

This questionnaire gathers a complete picture of your assets, liabilities and insurance arrangements so that your estate and succession planning is built on accurate, current information. Please complete every section as fully as you can. Estimates are acceptable where an exact figure is not on hand, and can be refined later.

This form is provided for planning and consultancy purposes only and does not constitute legal, tax or financial advice.

All information provided is treated as strictly confidential and is used solely for the purpose of preparing your estate and succession plan.
1

Personal & household information

2

Real estate

Include your home, investment properties and land, wherever located, including overseas. Outstanding mortgages are recorded here and carried through to the liabilities total automatically.

Total property value: $0|Total outstanding mortgages: $0
3

Bank & cash accounts

Savings, current and fixed deposit accounts, and cash holdings, in any currency or jurisdiction, including accounts held overseas.

Total cash & deposits: $0
4

Investments & retirement funds

Shares, bonds, unit trusts, investment-linked policies, CPF and retirement accounts, private funds, cryptocurrency and similar holdings.

Total investments: $0
5

Business & corporate interests

Shareholdings, partnership interests, sole proprietorships, or directorships with an ownership stake.

Total business interests: $0
6

Personal property

Vehicles, jewellery, art, collectibles and other items of significant value.

Total personal property: $0
7

Other liabilities

Loans, credit facilities, guarantees and tax liabilities not already listed under real estate.

Total other liabilities: $0
8

Insurance policies

Life, health, disability, critical illness, accident, universal life, property and any other policies. Coverage amounts are recorded for reference and are not included in the net worth total.

Total sum assured: $0|Total annual premiums: $0

Summary

Total assets$0
Total liabilities$0
Estimated net worth$0
9

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