Life Insurance Needs Estimator

How much Life Insurance do I need? Please complete form to view the estimated life insurance amount you may need to ensure your financial security

STEP 1: ASSESS LIABILITIES

Balance on Mortgage (including penalties and legal commissions and fees)

Amount Required to Pay off Personal Debts (including credit cards, personal, tuition and car loans, etc.)

Emergency Reserve Fund (including funding for extraordinary medical expenses and a reserve for emergency and unexpected expenses) (including credit cards, personal loans, tuition loans , car loans, etc.)

Final Expenses (including income taxes, probate fees, lawyers' commissions and fees, accounting fees, other administrative commissions and fees and funeral costs)

Immediate Cash Liabilities at Death

Childrens' Education Fund

Number of Children	child(ren)
Cost per Year per Child	$
Years Needed Per Child	yrs.

Total Child Education Liability

Funding for Replacement of Lost Income

Income	$
Percentage of income required for survivors	%
Number of years over which income continuation will be required	yrs.
Anticipated Interest expected on investment of funds	%
Income is to be indexed (for inflation)	%

Total Lost Income Replacement Liability

TOTAL LIABILITIES

STEP 2: CURRENT ASSETS
Liquid Assets: (Including bank accounts, mutual funds, certificates of deposit, stocks, bonds and cash)	$
Face (coverage) amount of all life insurance policies in force	$

TOTAL ASSETS	$

Calculate

RESULT: LIFE INSURANCE NEEDS	Reset Form
Total Liabilities (from step 1)	$
Total Assets (from step 2)	$
Total Insurance Needed (Liabilities - Assets)	$

Life Insurance Needs Estimator

STEP 1: ASSESS LIABILITIES

Childrens' Education Fund

Funding for Replacement of Lost Income

TOTAL LIABILITIES

STEP 2: CURRENT ASSETS

TOTAL ASSETS

Calculate

RESULT: LIFE INSURANCE NEEDS

Reset Form