Print Form — Service Request Transaction Information (if applicable) Amount Currency Income (Local currency) Income (USD) Principal (Local currency) Principal (USD) Quantity Post Date Settlement Date Trade Date Tax Code Tax Code Description Transaction Type Description Facility ID Facility Cost Center Facility Bus Sys Code Facility Flag Collateral Type Regulatory Reporting Code ACBS Reg Z Indicator Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00063357 EFTA01583651