Step 1: Calculate Your Liabilities
Amount required to pay off the balance of the mortgage (including penalties and legal commissions and fees)	$
Amount required to pay off personal debts (including credit cards, personal loans, tuition loans, car loans, etc.)	$
Emergency reserve fund (including funding for extraordinary medical expenses and a reserve for emergency and unexpected expenses)	$
Final expenses (including income taxes, probate fees, lawyers' commissions and fees, accounting fees, other administrative commissions and fees and funeral costs)	$
Total Immediate Cash Liabilities at Death	$ (subtotal above will be automatically calculated)
Childrens' education fund Number of Children child/children Cost per Year per Child $ Years Needed Per Child yrs.
Total childrens' education fund	$ (subtotal above will be automatically calculated)
Funding for replacement of lost income Annual Semi-Annual Quarterly Bi-Monthly Monthly income: $ Percentage of income required for survivors (i.e. 90%) % Number of years over which income continuation will be required yrs. Anticipated Interest expected on investment of funds: % Income is to be indexed (for inflation) %
Total provision for income funding	$ (subtotal above will be automatically calculated)
YOUR TOTAL LIABILITIES:	$

Step 2: Calculate Your Current Assets
Liquid Assets: (Including bank accounts, mutual funds, certificates of deposit, stocks, bonds and cash)	$
Face (coverage) amount of all life insurance policies in force	$
YOUR TOTAL CURRENT LIQUID ASSETS & IN-FORCE LIFE INSURANCE:	$

Step 3: Calculate Your Life Insurance Needs Estimate
Your Total Liabilities (from above)	$
Your Total Assets (from above)	-
Your Life Insurance Needs Estimate	$

Notes on your insurance needs estimate
1. The amount shown above is an estimate of the amount of life insurance coverage that you may need IN ADDITION to the existing coverage that you have indicated.

2. A negative amount above (a minus sign in front of the amount) may indicate that you may be adequately covered for those liabilities and contingencies that you have included in the above estimate calculator