Effective Date: Funds Transfer Request (Please Type Instructions) owtetts— OVoi/Zet.3 Please enter currant or lama dot° Only Select Appropale Payment Type anc Fields will be Displayed O JPMC Transfer O ACH O Check 0 Domestic Wire O International Wire Principal: $46.550.14 Income: '.4!..f.1 - • 9 . ipictoopthormapc,it,„-- • h. . . 41 . Debit Account #: Debit Account Title: Jeffrey E Epstein IPMorgan 4.4w proration*,!..-P.2, Receiving Bank ABA: Receiving Bank Name: Beneficiary Account #: Beneficiary Name: . , bro litintorrnediary'Party (it.Reqytred) .*416111:44:lis.frli tYrIstInt-ii&14Y41z,.?%0 irt v4.4. 4 Wachovia Bank Account Type: Intermidlary Bank Account/Code: Intermediary Bank Name: DDA (US) O Swift Address 1: Address 2: City: State: O Other Jacksonville FL Zip Code: Wiihgre0 4,2a tta) Payment Detals (Reference/ Advice Description/Addenda) ri; Inv # 13-00175 Authoriz 13 r c25/o//2 0/.3 Date ID: 036303012671076 DATE: 03/01201315.51:00 Page 7 of 7 DID: 8687316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059680 EFTA01580366
