Funds Transfer Request p;::,c.rytttageroyawi Effective Date: (Please Typo. Instructions) Neon °flier ',wont or future dale only Select Appropiate Payment Type and Fields will be Displayed O JPMC Transfer 0 ACH Principal Debit Account #: Receiving Bank ABA: Receiving Bank Name: Beneficiary Account #: Beneficiary Name: "1"*.Zugn Account Type: Intermidiary Bank Account(Code: Intermediary Bank Name: Las , simit Payment Details (Reference/ Advice DescrIption/Addenda) O Check 91 0,000 00 Str O Income: Domestic Wire Address 1: JP Morgan Chase Ayiloop LLC O DDA (US) O Swift J.P.Morgan International Wire Address 2: City: State: O mer Zip Code: Authorized B\r 06/19/13 Date ID: 03630614810792 DATE' 0619/2013 18 49:00 Page 2 of 2 DID: 8887316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059500 EFTA01580213