Funds Transfer Request (Please Tyre Mau:tens) Effective Date: 07/24/13 Please enter current or Mute oats only Select Appropiato Payment Type and Folds wiV be Displayed 0 JPMC Transfer 0 ACH 0 Check 0 Domestic Wire 0 International Wire Principal: $12,000.00 Income: Debit Account Title: Debit Account It: Jeffrey E Epstein Re;:eitittg Filtorrnapert J.P. Morgan Receiving Bank ABA: Receiving Bank Name: Beneficiary Account #: Beneficiary Name: Address 1: Wells Fargo Bank Address 2: Jennifer A. Kahn City: State: Zip Code: Pay Thlouyt);Intecineds:ry Party (If Requget.) Account Type: Inter/lichen/ Bank Account/Code: Intermediary Bank Name: (7) DDA (US) 0 swift Payment Details (Reference/ Advice Description/Addenda) 0 Other Authorized By 07P24/13 Date Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059424 EFTA01580157