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We collect this information so we can prepare thoughtfully for our conversation and determine whether we’re truly the right partner for you.

All information is encrypted, securely stored, and accessible only to authorized team members.

Client Info

First name

Last name

Gender

Male

Female

Email

Phone

Birthday

Month

Day

Year

Social Security Number

Multi-line address

Country/Region

Address

City

Zip / Postal code

Marital Status

Employment

Annual Gross Income (All Sources)

Before tax income across W-2, business income, distributions, bonuses.

YOUR INCOME ONLY. DO NOT INCLUDE SPOUSES INCOME HERE.

Employer Benefits

Employer offers a 401k match

Employer compensation includes incentives (RSUs, ESPP, LTIP, Other)

Other

Investment Profile

Primary Investment Objective

Growth

Income

Safety of Principal

Do you have a specific net worth or portfolio value you’re aiming to achieve?

Yes

No

I need help figuring this out

Desired Freedom/Retirement Date

Month

Day

Year

Experience with Mutual Funds

Experience with Stocks and Bonds

What is the approximate total value of the investable assets you plan to have Carson Capital manage?

Please list all custodians where your investments are currently held. (E.g. Schwab, Fidelity, Pershing, Vanguard) Be sure to include the custodian for any current employer-sponsored retirement accounts.

Are you a qualified purchaser or an accredited investor?

Accredited

Accredited + Qualified Purchaser

None of the Above (Yet)

Accredited Investor:

• Income of $200,000 or more (or $300,000 or more combined with a spouse), OR

• A net worth of over $1 million, not counting your main home.

Qualified Purchaser:

• Ownership of at least $5 million in investments.

Children

Do you have children?

Yes

No