Funds Transfer Request (Please Type insirucirons) ' !<,,!kti.• the • `nib,s. 44 Effective Date: 12/05/12 Please antes avant Or lulure date only Select Appropiate Payment Type and Fields will be Displayed Principal: O JPMC —ranter O ACH O Check $100,000.00 IF Morgan 0 Domestic Wire O International Wire Income: Debit Account t Debit Account Title: Jeffrey E Epstein Receiving Bank ABA: Receiving Bank Name: Beneficiary Account it: Beneficiary Name: Address 1: JPM Chase Address 2: JEGE Inc. City: State: Zip Code: kajkaitni aer ) 46' Account Type: O 0DA (US) Intermidiary Bank Account/Codo. Intermediary Hank Name' O Swift Payment Details (Fle!erescer Advice Description/Addenda) vow ler 4. "" O Other r ffCC Aut orizedt 12,05/12 Dale ID: 036212057770463 DATE: 12/05/2012 20:43:00 Page 2 of 4 DID: 8887316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059796 EFTA01580459