Funds Transfer Request (Please Type keractiOna)
IPMorgan
IEL
Effective Date: 07/30/13
Please enter cwrenl or tutus Pale only
Select Appropiate Payment Type and Fields will be Displayed
O JPMC Transfer O ACH O Check Domestic Wire O International Wire
Principal: $5,000.00 Income:
PilJ
Debit Account #: Debit Account Title: Jeffrey E. Epstein
Address 1:
Receiving Bank ABA:
Receiving Bank Name! Address 2:
Beneficiary Account 0:
Beneficiary Name: City:
3g,witizzaw
, State: Zit Code:
Account Type: O DDA (US) O Swat O Other
Intermidiery Bank
Account/Code:
Intermediary Bank Name:
rif
Y:9R9
Payment Details (Reference/ Advice Description/Addenda)
07/30/13
I 1 r
Authorized By Date
ID: 036307301067392 DATE! 07/30/2013 20:18:00 Page 5 of 6 DID: 8887316607 CSID: INDEX1: INDEX2
Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059409
EFTA01580145