Funds Transfer Request (Please Type 11,1TUCIC1S) F USD Transfer Information Effective Date: 12/05/12 Please enter current or future date only Select Appropiate Payment Type and Fields will be Displayed 0 JPMC Transfer O ACH 0 Check 0 Domestic Wire 0 International Wire Principal: $100,000.00 Income: Originator Informati- .. . Debit Account Ai Debit Account live Jeffrey E Epstein Address 1 : Receiving Bank ABA: Receiving Bank Name: Beneficiary Account I: Beneficiary Name: JPM Chase Hyperion Air Address 2: City State Zip Code: Pay ThroughIntermedi Party (if Required) Account Type: Intermidiary Bank Account/Code: Intermediary Bank Name: 0 DOA (US) 0 swift 0 Other Other Payment Details (Reference/ Advice Description/Addenda) Authorized By Date EFTA00312853