How are you paid for your services?
- Fee
- Commission
- Fee & Commission
- Salary
- Other
What do you typically charge?
A. Fee:
Hourly rate $ _________
Flat fee (range) $ _________ to $ _________
Percentage of assets under management: ____ percent
B. Commission:
What is the approximate percentage of the investment or premium you receive on:
stocks and bonds _________ ; mutual funds _________ ; annuities _________ ; insurance products _________ ; other _________
Do you have a business affiliation with any company whose products or services you are recommending?
- Yes
- No
Explain:
Is any of your compensation based on selling products?
- Yes
- No
Explain:
Do professionals and sales agents to whom you may refer me send business, fees or any other benefits to you?
- Yes
- No
Explain:
Is the account that you are offering an "advisory account," or is it a "brokerage account" exempt from investment adviser registration?
If it's a brokerage account, are you required under law to act as a fiduciary by always placing my interests first?
Regarding any brokerage account that I may open, what are the potential conflicts of interest that you have when recommending certain products for sale to me, and how will you disclose these to me prior to purchase, including any special cash payments or incentives that you receive?
Are you an owner of, or connected with, any other company whose services or products I will use?
- Yes
- No
Explain:
Do you provide a written client engagement agreement?
- Yes
- No
If no, why not?
