Dealers and Financial Planners click here to request a duplicate statement

What Type of IRA Is It?

Choose the type of IRA you would like to open -- REGULAR IRA -- Individual -- REGULAR IRA -- Transfer (complete Transfer Form) -- REGULAR IRA -- Rollover -- REGULAR IRA -- Direct Rollover -- ROTH IRA -- Individual Roth -- ROTH IRA -- Transfer from Roth to Roth (complete Transfer Request Form) -- ROTH IRA -- Rollover from Roth to Roth (indicate date Roth IRA was opened below) -- SEP IRA -- Individual SEP -- SEP IRA -- Transfer (complete Transfer Request Form) -- SEP IRA -- Rollover -- SEP IRA -- Direct Rollover

Date Roth IRA was opened
(Needed only for Rollover from Roth to Roth)

IRA Transfer Request Form (will open in new window)

Who Will Be Beneficiaries On This Account?

Primary Beneficiary

Full Name:		Social Security Number:
Address:		City:
State:		Zip Code:
Relation:		Date of Birth:

Secondary Beneficiary

Full Name:		Social Security Number:
Address:		City:
State:		Zip Code:
Relation:		Date of Birth:

Which Gabelli Fund(s) Do You Wish To Invest In?

Please list Fund(s)	(Indicate Tax year if Applicable)		IRA Transfer (Complete Transfer Request Form)	Rollover(Enclose Check)

Automatic Investment Plan

I want to invest a specific dollar amount ($100 minimum) each month from my bank checking account into the Gabelli Fund(s) I have indicated below. (Note: Not available for Gabelli U.S. Treasury Money Market Fund.)

Name of Fund(s)	Monthly Amount(s)
Select a Fund Asset Fund Growth Fund Value Fund Small Cap Growth Fund Gabelli Woodland SC Value Equity Income Fund ABC Fund Utilities Fund Blue Chip Value Fund Mathers Fund Global Telecommunication Fund Global Growth Fund Global Conv Securities Fund Global Opportunities Fund Gold Fund International Growth Fund Westwood Equity Fund - Retail Westwood Balanced Fund - Retail Westwood Intermediate Bond Fund Westwood Small Cap Equity Fund Westwood Income Fund Westwood Mighty Mites Fund NDR Asset Allocation Fund U.S.Treasury Money Market Fund	$
Select a Fund Asset Fund Growth Fund Value Fund Small Cap Growth Fund Gabelli Woodland SC Value Equity Income Fund ABC Fund Utilities Fund Blue Chip Value Fund Mathers Fund Global Telecommunication Fund Global Growth Fund Global Conv Securities Fund Global Opportunities Fund Gold Fund International Growth Fund Westwood Equity Fund - Retail Westwood Balanced Fund - Retail Westwood Intermediate Bond Fund Westwood Small Cap Equity Fund Westwood Income Fund Westwood Mighty Mites Fund NDR Asset Allocation Fund U.S.Treasury Money Market Fund	$
Select a Fund Asset Fund Growth Fund Value Fund Small Cap Growth Fund Gabelli Woodland SC Value Equity Income Fund ABC Fund Utilities Fund Blue Chip Value Fund Mathers Fund Global Telecommunication Fund Global Growth Fund Global Conv Securities Fund Global Opportunities Fund Gold Fund International Growth Fund Westwood Equity Fund - Retail Westwood Balanced Fund - Retail Westwood Intermediate Bond Fund Westwood Small Cap Equity Fund Westwood Income Fund Westwood Mighty Mites Fund NDR Asset Allocation Fund U.S.Treasury Money Market Fund	$
Total	$

I would like the withdrawal from my checking account to take place on the day of each month. The withdrawal will take place this day of each month or the next business day. (The default date is the 1st of each month if no date is indicated.)

I would like to have the monthly amount indicated above transferred from my Gabelli U.S. Treasury Money Market Fund Account # (Write New if establishing a new money market fund account in Section 2.)

Request Duplicate Statement
Dealers and Financial Planners Only

Name:
Address:		City:
State:		Zip Code:
Day-Time Phone:		Evening Phone:

Gabelli Funds IRA Transfer Request Form

If you wish to start your Gabelli Funds IRA with funds from another institution you must complete an IRA Transfer Form. The IRA Transfer Form must be mailed to Gabelli Funds with a completed and signed IRA Application. We will send the Transfer Form to your current trustee requesting the funds be sent directly to your new Gabelli Funds IRA. This will avoid any potential tax consequenses. As a reminder, you can execute as many transfers as you like in a given tax year.

Click on the "Format Application" Button and the IRA Application will be generated in a printable format. You may then print the web page by clicking on FILE and then PRINT.
After printing the application there will be a link at the bottom of the web page to access the IRA Transfer Form. Follow that link, fill in the information, submit the form and then print the generated page. Sign the Application and the Transfer Form and mail them to:

Gabelli Funds
IRA Department
One Corporate Center
Rye, NY 10580

We also have a full IRA Disclosure and Form 5035-A available online. These links will open in a new browser window.

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