TIB Life Insurance Worksheet

TIB Life Insurance Needs Calculator

Please be assured that your information is confidential with our business, and we do not share your contact information with any party not associated with our business.

Your Name*

First NameLast Name

Height

Weight

List your Medications:

Date of Birth

Nicotine Use?

YesNo

You may need a calculator to complete the worksheet. It's just 8 questions.

Instructions for each question are given below entry field.

1. Income Replacement

(60% of your annual income times the number of years needed)

2. Final Expenses

(Minimum 5,000, up to 4% of net worth)

3. Funeral Expenses

(Normally 10,000 to 30,000)

4. Emergency Fund

(Three months' expenses)

5. Home/Rent Fund

(Enough to pay off the mortgage, provide rent, or purchase a home

6. Debt Payment

(Enough to pay off all loans, credit cards and other debt)

7. Children's Education

(Enough to pay current college tuition costs, averaging $10,000 to $50,000)

8. Current Life Insurance Amount

Current life insurance is automatically deducted for final total.

Total Coverage Needed:

Click submit and we will contact you with a quote based on your feedback.