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LIFE INSURANCE
NEEDS ANALYSIS

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Life Insurance Needs Analysis

ADDING UP THE LIABILITIES

Amount required to pay off the balance of the mortage.

Amount required to pay off personal debts.

Emergency reserve fund.

Final expenses.

Childrens education fund

Number of Children:
Child/Children

Cost Per Year

Per Child:

Years Needed

Per Child:

Funding for replacement of lost income

Income

Percentage of income required for survivors:

Anticipated interest expected on investment of funds:

Number of years over which income continuation will be required.

Income is to be indexed (for inflation)

IMMEDIATE CASH LIABILITIES AT DEATH

TOTAL CHILDRENS EDUCATION FUND

TOTAL PROVISION FOR INCOME FUNDING

TOTAL LIABILITIES

Life Insurance Needs Analysis

CURRENT ASSETS

LIQUID ASSETS:

Product:

Amount:

FACE AMOUNT OF ALL LIFE INSURANCE

Amount:

Source:

Type:

Renew/Expiry:

TOTAL OF CURRENT LIQUID ASSETS & IN-FORCE LIFE INSURANCE:

Life Insurance Needs Analysis

ADDING UP THE LIABILITIES

Total Liabilities
Total Assets

ADDITIONAL LIFE INSURANCE COVERAGE NEED ESTIMATE

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*The amount shown in the Blue box is an estimate of the amount of life insurance coverage that you may need IN ADDITION to existing coverage that you have included.