Funds Transfer Request 5-4cifti (Piease Type listruction;) Effective Date: OISTM,.„ 02/19/13 Please enter curler,: or future date only Select Appreciate Payment Typo and Fields will be Displayed 0 JPMC Transfer 0 ACH 0 Check Principal: Debit Account 1: $500.00 J.P.Morgan 0 Domestic Wire 0 International Wire Income: Debk Account Title: Jeffrey E. Epstein Roc fig Pany Inform! cn Receiving Bank ABA: Receiving Bank Name: Reneliciary Account I: Beneficiary Name: Address 1: 021001088 HS8C Address 2: City: State: Zip Code: Pay Thraughentermediary Pary Required) Account I ype: Intermidiary Bank Account/Code: Intermediety Bank Nemo: 0 DIM (US) 0 Swift Payment Detals (Reference/ Advice Desalt:Mon/Addenda) 0 Other Authorized By 02/19/13 Date ID 036302192116781 DATE 02/192013 19.48 00 Page 2 of 2 DID 8887316607 CSID. INDEX1 INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059699 EFTA01580381
