Funds Transfer Request Owe Inetrctons) .Osticriatertsr6 Effective Date. 03/28/13 Please enter current or future date only Sweet Appropiate Payment Type and Fields will be Displayed O JPMC Transfer Principal: Debit Account f: O ACH O Check $10,000.00 O Income: J.P.Morgan Domestic Wire O International Wire Debit Account Title: 'Jeffrey E Epstein Be;oivo:r Part; hifo-mr.ittcp Receiving Bank ABA: Receiving Rank Name: Benefidary Account 0: Beneficiary Name: Address 1: JPMorgan Chase Address 2: Karyna Shuliok City: State: Zrp Code: Pk-Oro:10dr teTneciary c'alr If Per:I.:WA? Account Type: Intermidiary Bank Account/Code: Intermediary Bank Name: O DDA (US) O Swift Pl= JPMCC Payment Details (Reference/ Advice Description/Addenda) O Other .41/4,para.:tr `del za:tnOlivitetn.r. /fa Authorized Jby 12/05/12 Date ID: 036303284128385 DATE: 0328201315:46:00 Page 2 of 2 DID: 8887316607 CSC: INDEX1: INOEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059629 EFTA01580321