Funds Transfer Request 1:1lestive Dale: (Please Typo I ishuctiors) 1/17/13 Pl.ag enIor cumin Or More dale Only Select Appropiate Payment Type and Pfekts will be Displayed 0 JPMC Transfer Principal: Debit Account I: 0 ACH 0 Check $10,00600 ; irsvz,,4 " Rs O Incornc: Domestic Wire Debit Account Title: O J.P. Morgan International Wire [J!!'rey E Epsto:n Receiving Bank ABA: Receiving Bank Name: Beneficiary Accourt #: Benelibary Name: Address 1: 021000021 JP Morgan Chase Address 2: City: State: Zip Coda: 0DA (US) Account Type: 0 Swift IntermIdiary Bank AcwurdlCode: Intermediary Bank Name: "al .f Payment Details (Reference/Advice Description/Addenda) 4: ricalIMEL, 0 Other a rZt.*A36.',30.gr)n ieMZ 4Sfficart. ID: 036301179538452 DATE: 01/17/2013 16:56WPagN2 of 2 DIDSIge/1987/11003 1NDEX1: INDEX2 PAGE 2 OF 2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059736 EFTA01580410
