(Please Type Instructions) J.P.Morgan Funds Transfer Request Effective Date: 07/19/13 Please enter current w future date only Select Appropiate Payment Type and Fields will be Displayed O JPMC Transfer Debit Account #: '14r: 6 Address 1: Receiving Bank ABA: Receiving Bank Name: Beneficiary Accounts: Beneficiary Name: Account Type: Intermidiary Bank Account/Code: Intermediary Bank Name: O ACH O Check $50,01)0.00 O Innerrei Domestic Wire Cait Account Title: 121000248 Wells Fargo Bank 94 24 Black Srebnick Kornspan & Stumpf Tr O Swift Payment Details (Reference/ Advice Description/Addenda) O International Wire Address 2: City: State: Zip Code: O Other Authorized By 07[19/13 Date Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059442 EFTA01580168