Funds Transfer Request (Please Type Instruclions)
J.P.Morgan
Effective Date: 09/27/13
Pkerso order current or future date only
Select Appropiate Payment Type and Fields will be Displayed
O JPMC Transfer O ACH O Check O Domestic Wire O International Wire
Principal: $3.000.00 Income:
fri
Debit Account Debit Account Title: Jeffrey E Epstein
Receiviris) Party Infottbation
Address 1:
Receiving Bank ABA:
Receiving Bank Name. Citibank Address 2:
Beneficiary Account*:
Beneficiary Name: Rosalyn Fontanil
H City:
State: Zip Code:
eaY:1-00119hilifferinedlarY Patty (IIRequired/
Account Type: O DDA (US) O Swift O Other
Intermidiary Bank
Account/Code:
Intermediary Bank Name:
Payment Details (Reference/ Advice Deactiplion/Addenda)
100127/13
Date
ID: 036309273,303217 DATE 0927/201314:40:00 Page 2 of 2 DID: 8867316607 GSM: 1N0EX2
Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059334
EFTA01580088