Funds Transfer Request ri b (Pease Type Ins:ructions/ Effective Date: 02/01/13 Please enter current or future date only Select Appropiaie Payment Type and Fields will ho Displayed O JPMC Transfer Principal: ri4:74777,777 rent Debit Account # Receiving Bank ABA: Receiving Rank Name: Beneficiary Account #: Beneliciaty Name: ACH J.PMorgan O Check 0 Domestic Wire 31,380.00 Income: Address 1: Account Type: intermidiary Bark Account/Code: ntermediary Bank Name: Yteg e 14 O DDA (US) O Swift i-rayment Details (Reference/ Acvice Description/Addenda) O International Wire Address 2: City: State: O Other Zip Code: ess.st.9s • "#.:ed retek 0. Z. Authorized By 02/01/13 Date ID: 036302011286592 DATE 02/01201318.10:00 Page 2 of 3 DID: 8887316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059717 EFTA01580396