Regulation Best Interest Questionnaire Instructions
This form contains 70 fields organized into 17 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Analysis Process Description | ||
| Analysis Process Description | Text |
Provide a detailed description of the process and/or tools used for analyzing the cost of the current recommendation and its reasonably available alternatives.
|
| Benefits of Selected Product | ||
| 4. Investment Options | Checkbox |
Check this box if the selected product offers investment options that the alternative products do not.
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| 4. Tax Benefits | Checkbox |
Check this box if the selected product offers tax benefits that the alternative products do not.
|
| 4. Income Generation | Checkbox |
Check this box if the selected product offers income generation that the alternative products do not.
|
| 4. Death Benefit | Checkbox |
Check this box if the selected product includes a death benefit that the alternative products do not.
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| 4. Diversification | Checkbox |
Check this box if the selected product offers diversification that the alternative products do not.
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| 4. Inflation Protection | Checkbox |
Check this box if the selected product offers inflation protection that the alternative products do not.
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| 4. Access to Cash | Checkbox |
Check this box if the selected product offers access to cash that the alternative products do not.
|
| 4. Lower Cost | Checkbox |
Check this box if the selected product offers lower cost than the alternative products.
|
| 4. Other | Checkbox |
Check this box if the selected product offers another benefit not listed above that the alternative products do not.
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| Other Benefit/Need | Text |
Please specify any other benefit or need that the selected product offers that alternative products do not. Fill only if '4. Other' is 'Yes'.
Depends on:
4. Other
|
| Client Financial Needs | ||
| Death Benefit/Enhanced Death Benefit | Checkbox |
Check this box if the client's financial needs include providing a death benefit or an enhanced death benefit.
|
| Debt Protection | Checkbox |
Check this box if the client's financial needs include protecting against or paying off debt.
|
| Business Purposes | Checkbox |
Check this box if the client's financial needs are related to business purposes.
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| Estate Planning | Checkbox |
Check this box if the client's financial needs involve estate planning.
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| Diversification of Investments | Checkbox |
Check this box if the client's financial needs include diversifying their investment portfolio.
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| Asset Rebalancing | Checkbox |
Check this box if the client's financial needs include rebalancing their assets.
|
| Charitable Giving | Checkbox |
Check this box if the client's financial needs involve charitable giving.
|
| Income Generation | Checkbox |
Check this box if the client's financial needs focus on generating income from their investments.
|
| Annuitization Options | Checkbox |
Check this box if the client's financial needs include annuitization options.
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| Savings, Accumulation | Checkbox |
Check this box if the client's financial needs involve saving and accumulating wealth.
|
| Retirement Funding | Checkbox |
Check this box if the client's financial needs are for funding their retirement.
|
| Education/College Funding | Checkbox |
Check this box if the client's financial needs are for funding education or college expenses.
|
| Other | Checkbox |
Check this box if the client has financial needs not listed above and provide details.
|
| Other Financial Need | Text |
Please specify any other financial need that the client is trying to meet through this product or account type. Fill only if 'Other' is 'Yes'.
Depends on:
Other
|
| Client Information | ||
| Client Name | Text |
Please provide the full name of the client.
|
| Client SSN/Tax ID | Text |
Please provide the client's Social Security Number or Tax ID.
|
| Client's Preferred Investment Strategy | ||
| Buy/Hold Strategy | Checkbox |
Check this box if the client's preferred investment strategy is to purchase and hold securities for an extended period, focusing on long-term growth rather than short-term fluctuations.
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| Dollar Cost Averaging | Checkbox |
Check this box if the client's preferred investment strategy involves investing a fixed amount of money at regular intervals, regardless of market price, to reduce the average cost per share over time.
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| Income Generation | Checkbox |
Check this box if the client's preferred investment strategy is primarily focused on generating regular income from their portfolio, typically through dividends, interest, or rental income.
|
| Margin | Checkbox |
Check this box if the client's preferred investment strategy includes using borrowed funds from a brokerage firm (margin) to purchase securities.
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| Asset Allocation | Checkbox |
Check this box if the client's preferred investment strategy involves distributing investments among various asset classes, such as stocks, bonds, and cash equivalents, to manage risk and return.
|
| Hedging | Checkbox |
Check this box if the client's preferred investment strategy includes using financial instruments to offset potential losses in an existing investment or portfolio.
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| Fixed Income Laddering | Checkbox |
Check this box if the client's preferred investment strategy involves staggering the maturity dates of fixed income securities to manage interest rate risk and provide a consistent stream of income.
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| Explicit Hold | Checkbox |
Check this box if the client's preferred investment strategy requires specific instructions to hold certain assets, possibly due to tax implications or long-term strategic goals.
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| Diversification | Checkbox |
Check this box if the client's preferred investment strategy emphasizes spreading investments across various assets, industries, and geographic regions to minimize risk.
|
| Liquidation/Withdrawal | Checkbox |
Check this box if the client's preferred investment strategy includes specific plans for the systematic liquidation or withdrawal of funds from their investments.
|
| Tax Strategy | Checkbox |
Check this box if the client's preferred investment strategy is significantly influenced by tax considerations and aims to optimize tax efficiency for their investments.
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| Active Trading | Checkbox |
Check this box if the client's preferred investment strategy involves frequent buying and selling of securities in an attempt to profit from short-term price movements.
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| Other | Checkbox |
Check this box if the client's preferred investment strategy is not adequately described by the other listed options and write in the specific strategy.
|
| Other Investment Strategy | Text |
Please provide details for any other preferred investment strategy not listed. Fill only if 'Other' is 'Yes'.
Depends on:
Other
|
| Conflicts of Interest Disclosure | ||
| Oral Conflicts of Interest Disclosure | Text |
Provide details of any conflicts of interest that were disclosed orally to the client.
|
| Fifth Financial Professional Signature | ||
| Fifth Financial Professional Signature | Text |
Please provide the fifth financial professional's signature.
|
| Fifth Financial Professional Signature Date | Date |
Please provide the date of the fifth financial professional's signature. Fill only if 'Fifth Financial Professional Signature' is signed.
Depends on:
Fifth Financial Professional Signature
|
| Financial Professional Information | ||
| Financial Professional Name | Text |
Enter the full name of the financial professional.
|
| Rep Code | Text |
Provide the representative code for the financial professional.
|
| First Client Signature | ||
| Client Signature | Text |
Please enter the client's signature.
|
| Signature Date | Date |
Please enter the date the client signed. Fill only if 'Client Signature' is signed.
Depends on:
Client Signature
|
| First Financial Professional Signature | ||
| First Financial Professional Signature | Text |
Provide the signature of the first financial professional.
|
| First Financial Professional Signature Date | Date |
Provide the date when the first financial professional signed. Fill only if 'First Financial Professional Signature' is signed.
Depends on:
First Financial Professional Signature
|
| Form CRS Delivery Date | ||
| Form CRS Delivery Date | Date |
Provide the date the Client Relationship Summary (Form CRS) was delivered.
|
| Fourth Financial Professional Signature | ||
| Fourth Financial Professional Signature | Text |
Enter the full name of the fourth financial professional signing the document.
|
| Date of Fourth Financial Professional Signature | Date |
Provide the date when the fourth financial professional signed the document. Fill only if 'Fourth Financial Professional Signature' is signed.
Depends on:
Fourth Financial Professional Signature
|
| Other Factors in Investment Decision | ||
| Other Factors | Text |
Provide details on any other factors not discussed above that played into the investment decision with the client.
|
| Reasonably Available Alternatives | ||
| Annuities | Checkbox |
Check this box if annuities were considered as a reasonably available alternative with the client.
|
| Investment Advisory Accounts | Checkbox |
Check this box if investment advisory accounts were considered as a reasonably available alternative with the client.
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| Taxable Brokerage Account | Checkbox |
Check this box if a taxable brokerage account was considered as a reasonably available alternative with the client.
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| Non-taxable Brokerage Account | Checkbox |
Check this box if a non-taxable brokerage account was considered as a reasonably available alternative with the client.
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| Life Insurance | Checkbox |
Check this box if life insurance was considered as a reasonably available alternative with the client.
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| 529 Accounts | Checkbox |
Check this box if 529 accounts were considered as a reasonably available alternative with the client.
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| Coverdell Account | Checkbox |
Check this box if a Coverdell account was considered as a reasonably available alternative with the client.
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| Direct Mutual Fund Account | Checkbox |
Check this box if a direct mutual fund account was considered as a reasonably available alternative with the client.
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| Other | Checkbox |
Check this box if any other alternatives not listed were considered with the client.
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| Other Reasonably Available Alternative | Text |
Please specify any other reasonably available alternative considered with the client. Fill only if 'Other' is 'Yes'.
Depends on:
Other
|
| Second Client Signature | ||
| Second Client Signature | Text |
Please enter the second client's full signature.
|
| Second Client Signature Date | Date |
Please enter the date the second client signed. Fill only if 'Second Client Signature' is signed.
Depends on:
Second Client Signature
|
| Second Financial Professional Signature | ||
| Second Financial Professional Signature | Text |
Enter the second financial professional's signature.
|
| Second Financial Professional Signature Date | Date |
Enter the date the second financial professional signed. Fill only if 'Second Financial Professional Signature' is signed.
Depends on:
Second Financial Professional Signature
|
| Third Financial Professional Signature | ||
| Third Financial Professional Signature | Text |
Please enter the signature for the third financial professional.
|
| Date of Third Financial Professional Signature | Date |
Please provide the date of the third financial professional's signature. Fill only if 'Third Financial Professional Signature' is signed.
Depends on:
Third Financial Professional Signature
|