Delta Trust & Bank

Please use numbers only, no commas when completing fields.

Step 1. Evaluate Your Income and Assets

What is your current income?

How many years will your spouse need your annual income?

Current investment income (Rental Properties, Dividends, Annuities, etc.)

Existing liquid assets - All assets that can be turned into cash within 3 months
(We recommend you not liquidate retirement accounts due to tax penalties)

The amount of your existing life insurance coverage:

Step 2. Evaluate Your Debts and Expenses

Outstanding mortgage balance:

Outstanding loans:

Final expenses: (Medical, Funeral, Taxes)

Step 3. Evaluate Your Child Support and College Expenses

Child:	Monthly child cost:	Years child will require support:	College expenses:
1	$	years
2	$	years
3	$	years
4	$	years
5	$	years

Additional Recommended Life Insurance: $