(1) The report required under s. 177.0401 shall be signed by or on behalf of the holder and verified as to its completeness and accuracy and be in a secure format, as approved by the administrator, that protects the apparent owner’s confidential information in the same manner as is required of the administrator and administrator’s agent under subch. XIV. The report shall contain the following information: (a) A description of the property. (b) Unless the property is a traveler’s check, money order, or similar instrument, the name, last-known address, social security number or taxpayer identification number, and date of birth of the property’s apparent owner, if such information is known or readily ascertainable. (c) For an amount held or owing under a life or endowment insurance policy or annuity contract, the name, social security number or taxpayer identification number, if known, date of birth, if known, and last-known address of the insured, annuitant, or other apparent owner of the policy or contract and of each beneficiary. (d) For property held in or removed from a safe deposit box or other safekeeping repository or for other tangible personal property, an itemized inventory and description of the property, including the location of the property where it may be inspected by the administrator and any amounts owed to the holder. (e) The commencement date for determining abandonment under subch. II. (f) A statement that the holder has complied with the notice requirements of s. 177.0501. (g) Any other information prescribed by the administrator. (2) A report under s. 177.0401 may include in the aggregate items valued under $5 each only if the apparent owner is unknown. (3) A report under s. 177.0401 may include personal information, as defined in s. 177.1401 (1), about the apparent owner or the apparent owner’s property to the extent not otherwise prohibited by federal law. (4) If a holder has changed the holder’s name while holding property presumed abandoned or is a successor to another person that previously held the property for the apparent owner, the holder shall include in the report under s. 177.0401 the holder’s former name or the name of the previous holder, if any, and the known name and address of each previous holder of the property.
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