Funds Transfer Request (Please Type Instructions) Effective Date: 04/05/13 Please enter cun-enl cx tuba date only Select Appropiatc Payment Type and Fields will be Displayed O JPMC Transfer O ACH $50,000.00 ark) nator at Domestic Wire O J.P.Morgan International Wire Retorcr a Address 1: Receiving Bank ABA: Receiving Bank Name: JPMorgan Chase Address 2: Beneficiary Account 0: Beneficiary Name: Neptune LLC City: State: Zip Code: Account Type: Intermidiary Bank Account/Code: Intermediary Bank Name: O DDA (US) O Swift Payment Daises (Reference/ Advice Description/Addenda) O offs Authorized By (/05/13 Date ID: 036304054516654 DATE: 04/05201313:20:00 Page 2 of 2 DID: 8887316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059612 EFTA01580305
