Funds Transfer Request (Please Type entererSons) Effective Date: 08/07/13 Please enter aarent or lulure date only Select Appropiate Payment Type and Fields will be Displayed O JPMC Transfer Principal: Receiving Bank ABA: Receiving Bank Name: Beneficiary Account S: Beneficiary Name: ;zrn'ovAersa ?<1.g.tkAa.-wai ri Account Type: Intermidiary Bank AcAccount/Code: O ACH O Check $54,573.00 0 Domestic Wire Income: Watertown Savings Bank Bobcat of Watertown aa tTN.,,p. O Swift zaktatiz7i8i,.. O DDA (US) Intermediary Bank Name: Payment Details (Reference/ Advice Description/Addenda) O J.P.Morgan 4fraykm; International Wire [Jeffrey E. Epstein Address 1: 111 Clinton Street Address 2: City: State: Watertown NY Zip Code: 13601 • Maa ,.4W ,A, 4 a. axes Quotation 162790018499 Used V417 7138801 with attachments ff ( Authorized By 08/07/13 Dale ID. 036308081491316 DATE 08/08/2013 16 1800 Page 3 of 3 DID: 8887316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059386 71)trirrtreTh e iT tt EFTA01580127