Funds Transfer Request -777. 5117V,ty„ tk '' Effective Date: (Please Type Instructions) 01/16/13 Please enter current or future One only Select Appropiate Payment Type and Fields will be Displayed O JPMC Transfer O ACH O Check Principal: r >.371 560.000.00 O InalMc!: J.P.Morgan Domestic Wire O International Wire izi7 r 17F, Tis\WF ;•••••)0 rte. • 74l y777..t car 1...„;14‘. Debit Account 0: •-••'• ;;:c'evit..e.3 ts-lt Receiving Bank ABA: Receiving Bank Name: Beneficiary Account 0: Beneficiary Name: imm Debit Account Title: Jeffrey E. Epstein 4 `i7, ,TIC-ravelMiratParefTifirrecy 415 y,*v4tfiediaflkellEf.,;1 Ste/ay.:Th.. Address 1: • reei Y.4'4 1519 Ponce de Leon Avenue FirstBank, Puerto Rico Address 2: LSJ Empluyees LW City: State: Santurce PR Zip Code: 00908 'SicLIVayAf facta :g. ,,Wapitr.i. ear • Wr" 7T. Account Type: O DDA (US) O swat O Other Intermidiary Bank Account/Code: Intermediary Bank Name: Payment Details (Reference/ Advice Description/Addenda) ss Authorized By 01/16/13 Date ID. 036301169081728 DATE 01/1W013 16 50•00 Page 2 of 4 DID: 8887316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059740 EFTA01580413