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                             Ameriprise Financial
                             Michael T Perino, CRPC®
                             Financial Advisor
                             15050 Elderberry LN Ste 6
                             Ft Myers, FL 33907
                             239-482-8000 223
                             michael.perino@ampf.com
                             www.ameripriseadvisors.com/michael.t.perino




Answering the Financial Questions that Count
The topics listed below are intended to cover a variety YES! Send information on checked items to:
of situations--more than any one household will ever
likely need to consider. All of the information available Name__________________________________________________
is offered to help you understand your current financial
situation and make informed decisions. Simply fill        E-mail__________________________________________________
out the form (online or on paper) and return it to
request information on the subjects that interest you.    Address________________________________________________


                                                                  City____________________________________________________
Business Planning
    Starting or Buying a Business                                 State_______________      ZIP Code_______________________

    Choosing a Business Entity
                                                                  Business phone__________________________________________
    Business Insurance
    Business Tax Planning                                         Home phone_____________________________________________

    Retirement Plan Options                                       Best time to call__________________________________________
    Business Succession
Personal Finance                                                 Insurance Planning
    Budgeting and Cash Reserves                                       Protecting Your Loved Ones with Life Insurance
    Establishing or Maintaining Credit                                Estimating Your Life Insurance Needs
    Credit Cards                                                      What Type of Life Insurance Is Best for You?
    Homeownership                                                     Creating an Estate Plan with Life Insurance
    Buying or Leasing a Car                                           Long-Term Care Options
    Identity Theft                                                    Financial Impact of a Disability
Education Planning                                               Estate Planning
    Saving for College                                                Wills and Trusts
    529 Plans                                                         Planning for Incapacity
    Financial Aid                                                     Creating and Preserving a Family Legacy
    Student Loans                                                     Using Life Insurance in Estate Planning
    Repaying Student Loans                                            Strategies to Minimize Estate Taxes
    Education Tax Credits and Deductions                              Charitable Gifting Strategies



                         See disclaimer on final page                                                           January 25, 2010
Page 2 Page 2 of 2
                                                                                                                                          of 2

Retirement Planning                                                          Investment Planning
     IRAs                                                                         Investing Basics
     Employer-Sponsored Retirement Plans                                          Setting Investment Goals
     Annuities                                                                    Designing and Managing an Investment Portfolio
     Strategies for Retirement Plan Distributions                                 Handling Market Volatility
     Saving for Retirement                                                        Asset Allocation and Diversification
     Planning for Income in Retirement                                            Taxable vs. Tax-Free Investing
Social Security and Medicare                                                      Stocks
     Understanding Social Security                                                Bonds
     Social Security Retirement Benefits                                          CDs
     Social Security Disability Benefits                                          Mutual Funds/ETFs
     Medicare                                                                     Separately Managed Accounts
     Medicare Prescription Drug Coverage                                     Life Events
Tax Planning                                                                      Buying a Home
     Income Tax Planning                                                          Getting Married
     Year-End Tax Planning                                                        Raising a Family
     Investment Tax Planning                                                      Child with Special Needs
     Alternative Minimum Tax (AMT)                                                Changing Jobs
     Gift and Estate Taxes                                                        Starting a Business
Other                                                                             Caring for an Aging Parent

If you want information about something not listed here,                          Getting Divorced
tell us below what you are looking for.                                           Death of a Family Member




Disclosure Information -- Important -- Please Review
The information contained in this material is being provided for general education purposes and with the understanding that it is not intended
to be used or interpreted as specific legal, tax or investment advice. It does not address or account for your individual investor circumstances.
Investment decisions should always be made based on your specific financial needs and objectives, goals, time horizon and risk tolerance.

The information contained in this communication, including attachments, may be provided to support the marketing of a particular product or
service. You cannot rely on this to avoid tax penalties that may be imposed under the Internal Revenue Code. Consult your tax advisor or
attorney regarding tax issues specific to your circumstances.

Neither Ameriprise Financial Services, Inc. nor any of its employees or representatives are authorized to give legal or tax advice. You are
encouraged to seek the guidance of your own personal legal or tax counsel. Ameriprise Financial Services, Inc. Member FINRA and SIPC.

The information in this document is provided by a third party and has been obtained from sources believed to be reliable, but accuracy and
completeness cannot be guaranteed by Ameriprise Financial Services, Inc. While the publisher has been diligent in attempting to provide
accurate information, the accuracy of the information cannot be guaranteed. Laws and regulations change frequently, and are subject to
differing legal interpretations. Accordingly, neither the publisher nor any of its licensees or their distributees shall be liable for any loss or
damage caused, or alleged to have been caused, by the use or reliance upon this service.




                                                                    Copyright 2010 Forefield, Inc. All Rights Reserved.

                                                                                                                                          January 25, 2010

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Financial Questionaire

  • 1. Page 1 of 2 Ameriprise Financial Michael T Perino, CRPC® Financial Advisor 15050 Elderberry LN Ste 6 Ft Myers, FL 33907 239-482-8000 223 michael.perino@ampf.com www.ameripriseadvisors.com/michael.t.perino Answering the Financial Questions that Count The topics listed below are intended to cover a variety YES! Send information on checked items to: of situations--more than any one household will ever likely need to consider. All of the information available Name__________________________________________________ is offered to help you understand your current financial situation and make informed decisions. Simply fill E-mail__________________________________________________ out the form (online or on paper) and return it to request information on the subjects that interest you. Address________________________________________________ City____________________________________________________ Business Planning Starting or Buying a Business State_______________ ZIP Code_______________________ Choosing a Business Entity Business phone__________________________________________ Business Insurance Business Tax Planning Home phone_____________________________________________ Retirement Plan Options Best time to call__________________________________________ Business Succession Personal Finance Insurance Planning Budgeting and Cash Reserves Protecting Your Loved Ones with Life Insurance Establishing or Maintaining Credit Estimating Your Life Insurance Needs Credit Cards What Type of Life Insurance Is Best for You? Homeownership Creating an Estate Plan with Life Insurance Buying or Leasing a Car Long-Term Care Options Identity Theft Financial Impact of a Disability Education Planning Estate Planning Saving for College Wills and Trusts 529 Plans Planning for Incapacity Financial Aid Creating and Preserving a Family Legacy Student Loans Using Life Insurance in Estate Planning Repaying Student Loans Strategies to Minimize Estate Taxes Education Tax Credits and Deductions Charitable Gifting Strategies See disclaimer on final page January 25, 2010
  • 2. Page 2 Page 2 of 2 of 2 Retirement Planning Investment Planning IRAs Investing Basics Employer-Sponsored Retirement Plans Setting Investment Goals Annuities Designing and Managing an Investment Portfolio Strategies for Retirement Plan Distributions Handling Market Volatility Saving for Retirement Asset Allocation and Diversification Planning for Income in Retirement Taxable vs. Tax-Free Investing Social Security and Medicare Stocks Understanding Social Security Bonds Social Security Retirement Benefits CDs Social Security Disability Benefits Mutual Funds/ETFs Medicare Separately Managed Accounts Medicare Prescription Drug Coverage Life Events Tax Planning Buying a Home Income Tax Planning Getting Married Year-End Tax Planning Raising a Family Investment Tax Planning Child with Special Needs Alternative Minimum Tax (AMT) Changing Jobs Gift and Estate Taxes Starting a Business Other Caring for an Aging Parent If you want information about something not listed here, Getting Divorced tell us below what you are looking for. Death of a Family Member Disclosure Information -- Important -- Please Review The information contained in this material is being provided for general education purposes and with the understanding that it is not intended to be used or interpreted as specific legal, tax or investment advice. It does not address or account for your individual investor circumstances. Investment decisions should always be made based on your specific financial needs and objectives, goals, time horizon and risk tolerance. The information contained in this communication, including attachments, may be provided to support the marketing of a particular product or service. You cannot rely on this to avoid tax penalties that may be imposed under the Internal Revenue Code. Consult your tax advisor or attorney regarding tax issues specific to your circumstances. Neither Ameriprise Financial Services, Inc. nor any of its employees or representatives are authorized to give legal or tax advice. You are encouraged to seek the guidance of your own personal legal or tax counsel. Ameriprise Financial Services, Inc. Member FINRA and SIPC. The information in this document is provided by a third party and has been obtained from sources believed to be reliable, but accuracy and completeness cannot be guaranteed by Ameriprise Financial Services, Inc. While the publisher has been diligent in attempting to provide accurate information, the accuracy of the information cannot be guaranteed. Laws and regulations change frequently, and are subject to differing legal interpretations. Accordingly, neither the publisher nor any of its licensees or their distributees shall be liable for any loss or damage caused, or alleged to have been caused, by the use or reliance upon this service. Copyright 2010 Forefield, Inc. All Rights Reserved. January 25, 2010