59649 DATE: 12/12/2012 21:23:00 Page 1 of 7 DID: 8887316607 CSID: INDEX1: INDEX2: Funds Transfer Request (Please Type Instructions) J.P.Morgan LiS6 TranSfer Informatinn Effective Date: 12/12/12 Please enter current or luture date only Select Appropiate Payment Type and Fields will be Displayed JPMC Transfer ACII