DFS-UP-129                                                      STATE OF FLORIDA                        FOR SAFE DEPOSIT 
                                  ANNUAL REPORT OF PROPERTY PRESUMED ABANDONED                          BOXES OR OTHER 
MAIL TO:                                                                                                SAFEKEEPING 
                                          PURSUANT TO THE FLORIDA DISPOSITION OF UNCLAIMED PROPERTY     REPSITORY 
State of Florida                                        CHAPTER 717, FLORIDA STATUTES       
Department of Financial Services 
Bureau of Unclaimed Property  
P.O. Box 6350                     Covering UNCLAIMED ITEMS as of       December 31, __________  
Tallahassee, FL  32314-6350 
(850)413-5522                     UPID Number (From DFS-UP-111 Cover Sheet) __________________ 
                                   
                                  Federal Tax Identification     Number (FEIN) ________________________ 
                   NAME and LAST KNOWN ADDRESS                   SSN/FEIN OF      PROPERTY              DATE      BOX  
                    (Street, City & State) date of birth, of     OWNER                TYPE             OF LAST   NUMBER   
                              owner(s) including                                    CODE             TRANSACTION 
                    all joint/alternate owners, beneficiaries, 
                               and relationship 
                                    LAST NAME FIRST 
                                                                                                                  
 __________ PAGE TOTAL 
 Effective Date 2-19-97 
 Rule 69I-20.034, F.A.C. 

                DFS-UP-129 FOR SAFE DEPOSIT BOX ITEMS 
  
 This form is used to list the ‘safe deposit box’ related property due for owners.  The department will only 
 accept tangible property from financial institutions.  The contents must be remitted between 120 days after 
 the report due date and 180 days after the report due date.       
 Per Section 717.116, Florida Statutes, all tangible and intangible property held by a banking or financial 
 organization in a safe-deposit box or any other safekeeping repository in Florida that has not been claimed 
 by the owner for more than 3 years after the lease or rental period on the box or other repository has 
 expired is presumed unclaimed and must be reported to Florida. 
 
 DFS-UP-129  FORM  ETAILD  
  A. Column “NAME AND LAST KNOWN ADDRESS” - Enter the last name, first name and full 
     middle name, if available.  Corporate or other titles must be entered exactly as adopted, except the 
     word “the” must be omitted when it is the first word in the name.  If the owner name is not 
     known, insert “Unknown” as the owner name.  List the last known address, including zip code of 
     the owner as it last appeared in the holder’s records.  Include the address, even when the address 
     is incomplete or erroneous.  If no address is available, insert “Address Unknown” beneath the 
     name.  If the property has more than one owner, the names and addresses of the alternate owners 
     must be listed beneath the original owner’s name.  If there is no alternate owner for this account, 
     then the wording “No Alternate Owner” must be entered after each account.   
  
      1.      The relationship between the owners must also be shown (A list of valid relationship 
              codes can be found in the RELATIONSHIP CODE TABLE).  Enter the date of birth, if 
              available.  Reports that do not meet this requirement will be returned to the holder to 
              supply the omitted information and is subject to potential fines and interest penalties.   
  B. Column “SSN/FEIN OWNER” – Enter the social security number of the individual or FEIN for 
     the business of the reported owner of the property.  Social security numbers must be reported for 
     securities holdings.  If the alternate owner’s SSN is available, it must also be reported.  If no 
     social security number is available, insert “Unknown” in this column.  Common abbreviations are 
     SSN, FEID, EIN, and TIN.  The SSN/FEIN of owner is required information that must be 
     included on the report. 
  C. Column “ PROPERTY TYPE CODE” - Enter the property type code of each item.  The property 
     type codes are listed in the FLORIDA PROPERTY CODE AND DORMANCY TABLE.  
     Select the four-character code, which best describes the property being reported.  The valid codes 
     are SD01, SD02, SD03 and SD04.  The property type code is required information that must be 
     included on the report. 
  D. Column “ DATE OF LAST TRANSACTION      ” - Enter the date of the expiration of the lease or 
     rental period on the safe deposit box.  This is not the date of the due diligence letter or the date the 
     box was drilled.  The date of last transaction is required information that must be included on the 
     report. 
  
  The Date of Last Transaction is not the date of the holder’s due diligence letter.  
  Make sure that all reported accounts have reached the end of their statutory 
  dormancy period. 
  

E. Column “    BOX NUMBER” - The number assigned to the owner identifying their safe deposit box 
       or the number assigned by the holder as the safekeeping repository account number.  The box 
       number is required information that must be included on the report.  If the item being reported is 
       from an “Unknown Owner” and there is no box number associated with it, use a specific 
       number for the unknown account.  For example, UNK 08-16-07.  This would indicate the 
       box number is Unknown and the date it was found. 
        
F.      
ALLG.  of the columns on the form must be completed.  Any incomplete forms 
willH. be recorded as non-compliant and will be returned to the holder to correct.  
InformationI.  not known must be marked as “Unknown”.