Funds Transfer Request (Plle* TYPD belbuctiono) DS eflitk Antonimion. Effective Date; 03/14/13 Please enter current or Mute Salon* SoIcct Appropiate Payment Type and Fields will be Displayed JPMC Transfer Principal: Debit Account #: Receiving Bank ABA: Receiving Bank Name. Beneficiary Account A: Benefidary Name: 0 ACH 0 Chin* 61.278.91 O Income: Domestic Wire Address 1: Wells Fargo Bank Account Type: O DOA (US) Intermicliaty Bank Account/Code: Intermediary Bank Name: 4alosaAhaa Payment Detai s (Refrence/ Advice Description/Addenda) O J.P.Morgan International Wire Address 2: City: State: Zip Code: Exp. reimbursement Authorized 103/14/13 Date ID: 036303143381124 DATE: 03/10201315:49:00 Page 2012 DID: 8887316607 CS1D: INDEXI: 1N0EX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059651 EFTA01580342