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Uniform Gift/Transfer to Minors Account (UGMA/UTMA)

THE USA PATRIOT ACT
To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.

What this means to you: When you open an account, we will ask your name, address, date of birth, and other information that will allow us to identify you. This Application will be rejected if information cannot be verified.

All information must be completed and will be verified as required by the USA Patriot Act.

For Assistance in completing this form, call 1-800-GABELLI (422-3554). Do not use this form for IRAs or Closed-end Funds.This form creates a printable application that is ready for your signature. Fill in the appropriate fields and hit the "Submit Application" button to generate the account application. Sign the application and mail it to us at

Internet Applications Section
Gabelli & Company, Inc.
1 Corporate Center
Rye, NY 10580.

Who owns this Account?


Custodian's Name:
Full Name

Social Sec. Number

Date of Birth
AS CUSTODIAN FOR
Minor's Name:
Full Name

Social Sec. Number

Date of Birth
Under the: Uniform Gift/Transfer to Minors Act.
State of Donor

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