Bank Name: Beneficiary Account Beneficiary Name: Address 1: JPMorgan Chase Address 2: Nnptima t I. C City: State: Zip Code: Account Type: Interrnchary Bank Account/Code: Intermediary Bank Name: Other Payment Dotage (Reference/ Advice Description/Addenda) 0 DDA (US) C) Swift 0 Other 4irk7,n= /