Grand Total      Submit contact information for the person you wish to have contacted.

 Owner Name:

 Insured Name: Advisor Name:

 Address:

  City: State:    Zip:

 Phone:   Email:

   Probability Input

Life Settlement Probability Calculator

Check One Box from Each Section Below

 Age and Sex

Male = or < 74 -- Female = or < 77 

Male 75 thru 78 or Female 78 thru 81

Male 79 thru 83 or Female 82 thru 86

Male = or > 84 -- Female = or > 87

 Health Status

Good health

Minor Health Problems

Significant Health Problems

Terminal or Catastrophic Illness

 Policy Type

Whole Life

Variable Life

Term or Joint Survivor Life

Universal or Joint Survivor Life

 Cash Value (as a % of face amt.)

> 30% of Death Benefit

20-29% of Death Benefit

10-19% of Death Benefit

< 10% of Death Benefit

 Loan Value (as a % of face amt.)

> 30% of Death Benefit

20-29% of Death Benefit

10-19% of Death Benefit

< 10% of Death Benefit

 Ann. Premium (as a % of face amt.)

Premium > 4% of Death Benefit

Premiums 3-4% of Death Benefit

Premiums 2-3% of Death Benefit

Premiums < 2% of Death Benefit

   Probability Score (Input This Score Below)