Funds Transfer Request "tone Type mama/met USD Transfer Info-ma:ten Effective Date 1220/12 Please enter °mentor future rime onty Select Appropiate Payment Type and Fields will be Displayed Prirocipal: 0 JPMC Transfer 0 ACM 0 Chock $305.40 O Income: Domestic Wire O J.P.Morgan International Wire (1rtginalor InfnanLlton flece,‘,ing Party In'crrn-atIon Receiving Bank ABA: Receiving Bank Name. Beneficiary Account 8: Beneficiary Name: Address 1: 021000021 JPMorgan Chase Day ThreuglsrauerrneJ art/ Dare/ (II Required) . Account Type: Intermediary Bank Account/Code: Intermediary Bank Wane: •:tita:A472. Payment Details (Reference/ Advice Description/Addenda) O DDA (US) O swift 'Jeffrey E. Epstein Address 2: City: State: O Other 44%5VA Zip Code: Reimbursement for taxis Sep-Nov 2012 Authorized By By 11/27/12 Date ID: 036212208370604 DATE: 12/20/2012 16 55:00 Page 2 of 2 DID: 8687316607 CSiD: !POEM: 1N0EX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059772 EFTA01580440
