Client Name: First Last H S A (2016 limit Family High Deductible Plan $6,700) check the limitYesNoDate Complete HSA:01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 20202019201820172016daymonthyearSIMPLE PLAN $12,500 + $5,000 50 yr + Catch up + 3% matchingYesNoDate to complete SIMPLE:01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 20202019201820172016daymonthyearTerm life insuranceYesNoDate to complete Insurance:01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 20202019201820172016daymonthyearReasonable Compensation wagesYesNoDate to complete Wages:01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 20202019201820172016daymonthyearAdequate compensation for childrenYesNoN/ADate to complete Comp for Children01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 20162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901daymonthyearROTH IRA accounts for ChildrenYesNoN/ADate to complete IRA for Children01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 20202019201820172016daymonthyearRental space of primary residence - $7,500YesNoDate to complete Rent Space01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 20202019201820172016daymonthyearIP / Royalty / Personal Debt Guarantee AgreementsYesNoDate to complete Aggrements01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 20202019201820172016daymonthyearAre you 50+YesNoSIMPLE $12,500 plus $3,000YesNoDate to complete SIMPLE 50+01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 20202019201820172016daymonthyearIRA $5,500 plus $1,000YesNoDate to complete IRA 50+01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 20202019201820172016daymonthyearSubmitReset