Funds Transfer Request (Please Type Instnicbons) '..• . 4 .4..; - -e 4'4 tae USE) rrar)51 One Jet a Effective Date: 01/24/13 Please enter current or future dale only Select Approptate Payment Type and Fields will be Displaycm O JPMC Transfer O ACH Principal: Originator Information' Debit Account it O Check $3.000.00 739110438 Domestic Wire O O Internationcl Wro Income: Dcbil Account J.P.Morgan 'Jeffrey E. Epstein Receiving Bank ABA: Receiving Bank Name: Beneficiary Account is Beneficiary Name: Address 1: C21000021 JP Morgan Chase Address 2: 819949496 Ion Nicola City: State: Zip Code: Account Type: Intermidery Bank Account/Code: Intermediary Bank Nemo: OBEK1 galfel'w4 O [MA (US) O Swift Payment Details (Reference! Advice Description/Addenda) O Other .,,bal\MSaSzett ,i„nw...R,r3;nzaptwornai. Invoice: Apt 3M Authorized By 01(24/13 Date ID. 036301249869706 DATE- 01/24/2013 21.59:00 Page 3 of 3 DID: 8887316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059724 EFTA01580401