This is a payment authorization form from the Epstein Survivors' Settlement Fund JPM, allowing a claimant to receive their allocation from the $290 million JPMorgan settlement through the Marsh Law Firm's trust account.
This document is a completed payment instruction form dated January 17, 2024, from the Epstein Survivors' Settlement Fund JPM—the $290 million class action settlement between JPMorgan Chase and victims of Jeffrey Epstein's sex trafficking. The form authorizes Claims Administrator Simone Lelchuk to wire settlement funds to the Marsh Law Firm PLLC Attorney Trust Account at JPMorgan Chase. The accompanying audit trail shows the document was signed electronically via Adobe Acrobat Sign on the same day it was created.

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Payment Instructions Name of Beneficiary/Claimant:i Account Name (Exact Name on Account): THE MARSH LAW FIRM PLLC ATTORNEY TRUST ACCOUNT IOLA Address of Account Holder: New York, New York 10001-2170 Account Number or IBAN: Name of Financial Institution: JP MorganChase Bank Wire Routing # or SWIFT Code: I the payment will go through an intermedieny bank, please contact Elise Thwjka at to provide additional required information. I hereby authorize Simone Lelchuk, the Claims Administrator, to wire my allocation from the Epstein Survivors' Settlement Fund JPM Qualified Settlement Fund to the account referenced above. I understand that the Claims Administrator or her counsel will contact me prior to initiating payment to verbally confirm these payment instructions and that payment cannot be made absent such verification. Name: Email Address: Phone Number: + EFTA00037061
Instructions Final Audit Report EpsteinSSFJPM - Payment 2024-01-17 Created: 2024-01-17 By: Cassandra Sorrentino , Status: Signed Transaction ID: CBJCHBCAABAAbJIMy8huJu2cM/GHttdLSwotzERIr7UIS EpsteinSSFJPM - Payment Instructions" History 15 Document created by Cassandra Sorrentino 2024-01-17 - 6:45:48 PM GMT E7, Document emailed to 2024-01-17 - 7:15:11 PM GMT 5 Email viewed by 2024-01-17 - 7:15:16 PM GMT for signature do Signer entered name at signing as 2024-01-17 - 7:40:03 PM GMT Oa Document e-signed by Signature Date: 2024-01-17 - 7:40:05 PM GMT - Time Source: server Agreement completed. 2024-01-17 - 7:40:05 PM GMT irj Adobe Acrobat Sign EFTA00037062


