Funds Transfer Request (PI M. Type Instartions) ry ti Effective Date: 09/03/13 Please enter current or future dote arty Select Appropiate Payment Type and Fields will be Displayed 0 JPMC Transfer (Ti ACH 0 Check Principal: Debit Account #: t.. $15,000.00 • ittift:-.&" .23,;.%: 14733lir e. :%*.k5r.nati 0 Domestic Wire Income: Debit Account Title: O J.P. Morgan International Wire ItiK itl,;e7T` ;-,, Ig( Tralat. 4.r d. Jelrey E. Epstein f MA Receiving Bank ABA: Receiving Bank Name: Beneficiary Account $: Beneficiary Name: Address 1: JPNlorgen Chase Address 2: City: State Zip Code: Account Type: intermidiary Bank Account/Code: Intermediary Bank Name: say ../ Payment Details (Reference/ Advice Description(Addenda) 09/03/13 Date ID: 036309032644569 DATE 09/03/2013 20:57:00 Page 2 of 2 DID: 8887316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059353 EFTA01580102