Jul-2 0-2 010 0 8:4 0 AM JPMorgan Chase 3 0 2-6 3 4-5 9 5 5 1/1 Sweep Deadline (circle one) PB Funds Transfer Form/Input Guide 11:30 1:30 4:30 N/A EST JP Morgan 8:30 10:30 1:30 N/A PST Today's Date 7/19/2010 Time 5:18 PM Execution Date 1 1 iD lAinount 2z $126,705.79 Debit Account Number: Debit Account Title: Jeffrey Epstein Debit Account Type Cusotody Principal 0 Custody Income J DDA Trust Principal 111 Trust Income 1: MMIA Advisory Principal 0 Advisory Income JPM Funds Il Asset Allocation(PAAS) 0 Offshore Fund 0 Payment Information (Select One) f.) Internal Transfer (Related, Non-Related) Credit Account Number: Principal** **Check Sweep Deadline Account Title: Income 2.1 Money Transfer Wire n Book E FX EFTA01591892
Payee Bank ABA FFC NC. it , (C LSJ LLC Payee Bank Name: JPM Chase Bank NA 3r--- FC. I\ NAM c : For Account Number: For Account Name: Chase VISA 3.) Treasurer's Check/PC Draft Print Check In : El NY II DE Payee Name: Payee Address: For Account Of: Refcrence/Advice Desciiption/- Comments: Credit Card Payment $5KIICIVOrc#::4,,,01104* ' L ::4.::0.06:hdf:reciyire:-:4-4,0ba--0. . ' '-'0 16*.- Payment Instructions Originator Method of Communication (If Not Morgan Initiated) Morgan EFTA01591893
Initiated El Written Request • Telephone Request Client Initiated II Fax Request uEmail Request** **Callbacks must still be done Initiator's Name & Ext Stamp Initiator's Signature Bill Doherty Authorizer's Name & Ext Stamp Authori r's Signature Client/Caller Name: Harry Beller Client Telephone: Call Back Name: Bill Doherty Call Back Signature: Ext: Call Back Date: 7/16/10 CMS/Global Hold Approval: Obtained: DDA Overdraft Approval: Obtained: Time: 3:30pro 0 N/A 0 N/A ID: 036007208589490 DATE: 07/20/2010 12:42:00 PM DID: 8887316607 CSID: Page 1 of 1 EFTA01591894
