D. Debts

This is referring to any debts that you might have outside the mortgage (car loan, credit cards, student loans, etc.). If we were going to write you a check to pay off all debts (excluding your mortgage) how much would that check be for?

Total Debt: $

I. Income Replacement

After paying off your debt, if we could bring your family a check every month to cover normal living expenses - how much would that monthly check need to be? And, for how many years?

M. Mortgage Protection

What is your current balance that you owe the bank for your mortgage?

E. Education

What do you feel would be an adequate amount to set aside for your children's education? $50,000? $100,000? What is the approximate amount that you have already established in a college savings?

Adequate Education: $ - Amount Saved: $ = $

E. Expenses - Final

On average, we allocate around $10,000-15,000 to cover final expenses.

ESTIMATED TOTAL INSURANCE NEED: $