Financial Planners Supplement Financial Planners Supplement PDF Download Financial Planners Supplement Financial Planners Professional Liability FINANCIAL PLANNERS ADDENDUM TO APPLICATIONName of Applicant:* Prefix First Last Suffix 1. Investment Income List the total gross receipts for the past twelve months derived from the sales of the following products and/or activities:Fixed Annuities:* Variable Annuities:* Mutual Funds:* Stocks:* Bonds:* Commodities:* Financial Plans for a Fee:* Total $0.00 2. Do you have discretionary control of any client’s assets?* Yes No If “Yes,” indicate the number of clients and the value of assets controlled:Number of Clients:Value of Assets Controlled:3. Are you involved in the sale of structured settlement annuities?* Yes No 4. Do you have any involvement in the development or solicitation of general or limited partnerships?* Yes No If “Yes,” provide full details:THIS SUPPLEMENTAL APPLICATION IS ATTACHED TO AND FORMS PART OF THE PROFESSIONAL LIABILITY APPLICATION FOR CLAIMS-MADE INSURANCE. THIS SUPPLEMENT IS SUBJECT TO THE SAME PROVISIONS CONCERNING REPRESENTATIONS MADE IN THE GENERAL APPLICATION.Signature:* Reset signature Signature locked. Reset to sign again (Principal, Partner or Officer of the Firm)Date:* MM slash DD slash YYYY
