Gabelli Funds IRA Transfer Form
Use this page only to transfer your IRA from another institution. An IRA application form must also be completed if a new account is being established. If you have questions about completing this form, call 1-800-GABELLI (1-800-422-3554). Your Name and Address
Information About Your Present IRA
How Would You Like To Invest The Proceeds?
Instructions To Resigning Trustee?
Format Application
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.


YOUR NAME AND ADDRESS
Full Name:
Social Security Number:
Mailing Address:
City:
State:         Zip Code:    
Day Phone:             Evening Phone:    
Email Address:

INFORMATION ABOUT YOUR PRESENT IRA
Type of IRA:
TRADITIONAL IRA Individual
Transfer
Rollover
Direct Rollover
Direct Rollover from 401(k)
ROTH IRA Individual
Transfer from Roth IRA to Roth IRA
Rollover from Roth IRA to Roth IRA*
Direct Rollover from 403(b)
Date Roth IRA was originally opened      
SEP IRA  
Name of Resigning Trustee,
Custodian or Institution
Address of Resigning Trustee,
Custodian or Institution
City:
State:         Zip Code:    
Phone number of Resigning Trustee,
Custodian or Institution:
Your name, or name on
Individual Retirement Account:
Account Number:
Name of Mutual Fund,
Brokerage Firm or Bank, etc.

PLEASE COMPLETE FOR ALL TRANSFERS
Please deposit proceeds in my existing Gabelli Funds IRA
Traditional IRA
Roth IRA
I am opening a new account and have attached an IRA Application
My transfer should be invested as follows: * Write "New" if opening a new IRA Account
Gabelli Fund Name: Account No: * % or $ Amount:

INSTRUCTION TO RESIGNING TRUSTEE
(Authorization to Transfer IRA Assets)
Please liquidate and forward to Gabelli Funds:
All Assets OR $
Upon Maturity Date: OR Immediately
Note: If you are transferring a CD when It matures, please send us this form at least two weeks prior to maturity. Please make check payable to: The Gabelli Funds


I understand that this transfer of assets is to be executed as a fiduciary to fiduciary transfer so as not to put me in actual or constructive receipt of all or any part of the transferred assets.
Your name, or name on the Individual Retirement Account


Present IRA Account Number

Note: to the resigning custodian or trustee: Please attach a copy of this authorization to your check
when you send it to the address below.

FORMAT APPLICATION
State Street Bank and Trust Company will automatically send out letters to those former custodians/trustees if the transfer proceeds have not been received after 21 days.

Hit the Format Application, Print out the form, sign where indicated and mail this form to:

    Gabelli Funds
    IRA Department
    One Corporate Center
    Rye, NY 10580-1422
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