Funds Transfer Request (Please Type Instructions) Effective Date: wineas,?7 r J.P.Morgan 01/09/13 Plane enter current or future dal° ray Select Appropiate Payment Type and Fields will be Displayed O JPMC Transfer Principal; 0ricinator Information Debit Account #: O ACH O Check $100,000.00 0 Domestic Wire 'mune: Debit Account Title: 7t)&'');rri7:774-11771,2:•••••• O International Wre Jeffrey E Epstein Receiving Bank ABA: Receiving Bank Name: Beneficiary Account #: Beneficiary Name: Address 1: 021000021 JPM Chase Address 2: NES LLC City: State: Zip Code: Pay.Through/Intermediary Party (II P.oquirod) Account Type: Intermidiary Bank AccountlOodel Intermediary Bank Name: Other. ..: • . O DDA IUS) O Swift O Other Payment Details (Reference/ Advice Description/Addenda) )44:: A gesv ..0t t•Ta 01/09/13 Dato ID: 036301109232701 DATE: 01/10/201318:13:00 Page 2 of 2 DID: 8087316607 CSID: INDEXI: 1NDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059751 EFTA01580421
