Funds Transfer Request Effective Date: (Meese Type no/melons) Please enter current or luturo dale only Select Appr,piate Payment Type arid F elds win be Displayed 0 JPMC Transfer 0 ACH 0 Check 0 Domestic Wire Principal: -; Debit Account St R...,ceivIng Party. Informal, $100,000.00 Income: Debit Account Title: O J.P.Morgan International Wire Jeffrey E. Epstein Receiving Bank ABA: Receiving Bank Name: Beneficiary Account #: Beneficiary Name: Address 1: FirstBank, Puerto Rico Address 2: LSJ Employees LIC City: State: Santurce PR Zip Code: 00908 Intermidiary Bank AeOgunt/Coce: Intermedary Bank Name: Othv Paymont Details (Reference/ Advice Description/Addenda) Authorized By 12/20/12 Date ID: 036212208385606 DATE 1220201219:50:00 Page 5 of 9 DID: 8887316607 CSID. INDEX1- INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059766 EFTA01580434