Funds Transfer Request (PleaseType Instructions) S -Manstepinforiapd Effective Date: 04/03/13 Plebe ewer wren! or tv.ure dare only Select Appropiate Paymert Type and -fields will be Displayed Principal: 0 JPMC Transfer 0 ACH 0 Check (,) Domestic Wire $200,000.00 Income: O J.P.Morgan Into rnctional Wire r.11.11:-.1 ifii0"Ma tin() Receiving Bank ADA: Receiving Bank Name. Beneficiary' Account #: Beneficiary Name: Address 1: JP Morgan Chase Address 2: HBRK Associates Inc. City: State: Zip Code: Interinictiari Bank Account/Code: Intermediary Bank Name: r,roa agnaint nr - , raipirestt..4 bai Payment Detai s (Refe'ence/ Advice Description/Addenda) Authon7ed By 04/03/13 Date ID 036304034402232 DATE 04/032013 15 00 00 Page 2 of 2 DID 8687316607 CSID. INDEX1 INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059624 EFTA01580316
