Net- Worth Statement
ASSETS
Personal
Spouse
Total
RRSP 1 (401k, IRA)
$_____________
$____________
$________________
RRSP 2 (401k, IRA)
$_____________
$____________
$________________
RRIF
$_____________
$____________
$________________
LIRA
$_____________
$____________
$________________
TFSA
$_____________
$____________
$________________
Savings
$_____________
$____________
$________________
Open accounts
$_____________
$____________
$________________
Main House
$_____________
$____________
$________________
Rental
$_____________
$____________
$________________
Other
$_____________
$____________
$________________
Total $_____________
$____________
$________________A
Funds held within a corporation $_______________________________
LIABILITIES
Personal
Spouse
Total
House mortgage
$_____________
$____________
$________________
Cottage mortgage
$_____________
$____________
$________________
Line of Credit
$_____________
$____________
$________________
Credit card 1
$_____________
$____________
$________________
Credit card 2
$_____________
$____________
$________________
Car loan
$_____________
$____________
$________________
Margin account
$_____________
$____________
$________________
Rental 1
$_____________
$____________
$________________
Rental 2
$_____________
$____________
$________________
Other
$_____________
$____________
$________________
Total $_____________
$____________
$________________B
Assets
minus
Liabilities
=
A $___________________ — B $_____________________ =
Net Worth
$_____________________
Retirement Income Sources
Current Annual Income:
Personal income
$___________________
Spouse’s income
$___________________
Passive income
$___________________
Other income
$___________________
Current Investments:
Personal
Spouse
RRSP 1 (401k, IRA)
$_____________________
$______________________
RRSP 2 (401k, IRA)
$_____________________
$______________________
RRIF
$_____________________
$______________________
LIRA
$_____________________
$______________________
TFSA
$_____________________
$______________________
Savings
$_____________________
$______________________
Open accounts
$_____________________
$______________________
RESP
$_____________________
$______________________
Other
$_____________________
$______________________
Other
$_____________________
$______________________
$_____________________
$______________________
Total
Funds held within a corporation $_______________________________
Retirement Income Sources
Company Pension Plan ______________
Work income
RRSP/RRIF/401k
______________
Foreign pensions _____________
LIRA
______________
Life policies
_____________
CPP
______________
Mortgages
_____________
OAS
______________
Other
_____________
Rental income
______________
Total B
_____________
Dividends
______________
Total A
_____________+
Total A
______________
_____________
Grand total: ____________=
Non-Discretionary Spending
This section will help you determine the exact amount of income you require to
look after your basic expenses in retirement.
Housing per month
Risk management per month
Mortgage
$_________________
Life insurance
$_________________
Rent
$_________________
Critical Illness
$_________________
Condo fee
$_________________
Disability
$_________________
Maintenance
$_________________
Long Term Care
$_________________
Cable
$_________________
Other
$_________________
Hydro
$_________________
Gas
$_________________
Various per month
Phone
$_________________
Divorce payments
$_________________
Other
$_________________
Child support
$_________________
$_________________A
Schooling
$_________________
Personal care per month
Cottage
$_________________
Health club
$_________________
Investment loans
$_________________
Grooming
$_________________
Debt repayment
$_________________
Medical
$_________________
Charitable giving
$_________________
Clothing
$_________________
Other
$_________________
Food
$_________________
Other
$_________________
$_________________B
Other
$_________________
Total
Total
Transportation per month
Total
$_________________D
Total
$_________________E
Car loan
$________________
Lease
$________________
A
$_________________+
Insurance
$________________
B
$_________________+
Maintenance
$________________
C
$_________________+
Fuel
$________________
D
$_________________+
Other
$________________
E
$_________________+
Total
$________________C
Total this page $_________________=
Lifestyle Spending
In this section you will mark down the expenses that you would like to incur.
These expenses will help you enjoy the quality of life that you want to have.
Monthly
Annual
Travel
$_______________
_________________
Entertainment
$_______________
_________________
Sports
$_______________
_________________
Club membership
$_______________
_________________
Education
$_______________
_________________
Gifting
$_______________
_________________
Other____________
$_______________
_________________
Other____________
$_______________
_________________
Other____________
$_______________
_________________
Other____________
$_______________
_________________
Other____________
$_______________
_________________
Total $_______________
Total this page
Total from Non-Discretionary Spending page
_________________A
$________________A
$________________+
MY NUMBER *$____________=
*Monthly income required to maintain your lifestyle. This is the amount of income that you
must be able to generate from all of your income sources.