Funds Transfer Request (Please Type lestruce0a4 , USD Tranz:fer infarrnation Effective Date: 01/10/13 Neese enter accent cc lulure date only Select Appropiate Payment Type and Fields will be Displayed O JPMC Transfer 0 ACH 0 Check Principal: $50.000.00 O Income: Domestic Wire O J.P.Morgan International Wire $iginator 'Jeffrey E Epstein Pdriy M`,...aact - Receiving Bank ABA: Receiving Bank Name: Beneficiary Account Beneficiary Name: Address 1: JPMorgan Chase Address 2: Nnptima t I. C City: State: Zip Code: Account Type: Interrnchary Bank Account/Code: Intermediary Bank Name: Other Payment Dotage (Reference/ Advice Description/Addenda) 0 DDA (US) C) Swift 0 Other 4irk7,n= / f ilA d Aut rizedffy 01/10/13 Date ID: 036301109223311 DATE: 01/101201316:31:00 Page 2 of 2 DID: 8887316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059749 EFTA01580419