Funds Transfer Request Effective Date: (Please Type Insauchans) 4 171 01/18/13 Please enter current a future dale only Select Appropiate Payment Type and Melds will be Displayed O JPMC Transfer Debit Account it 739110438 Receiving Bank ABA: Receiving Bank Name: Beneficiary Account #: Beneficiary Name: Internidiary Bans Account/Code: Intermediary Bank Name: O ACH O Check $4,609.14? SO Domestic Wire Income: IPMorgan Warn' titt:W' I O International Wire nA"-itanwaisirrYg irtk1/2y: Debit Account Title: Jeffrey E. Epstein 062035690 Regions Bank of Atlanta 0161645877 ARS Export Supply Address 1: 5935 Budford Highway Address 2: City: State: Norcross GA Zip Code: Payment Details (Reference! Advice Description/Addenda) 30071 ki Invoice 778395 & 778343 Authorised By 01/18/13 Date ID: 036301189606178 DATE 01/18/2013 19:01:00 Page 3 of 3 DID: 8887316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059731 EFTA01580407