Funds Transfer Request (;),:ise7pei, str, cfons)
J.P.Morgan
Effective Date: 07/18/13
Please imam currant a future date Cray
Select Appropiate Payment Type and Fields will bo Displayed
O JPMC Transfer O ACH O Check 0 Domestic Wire O International Wire
Principal: $12,218.00 Income:
Weatt l argeatiaa
Debit Account #: Debit Account Title: Jeffrey Epstein
saw 11.4lgy.
WisWieratm..
Address 1:
Receiving Bank ABA:
Receiving Bank Name: Citibank Address 2:
Beneficiary Account S: NMI
Beneficiary Name: David Tarlow & Co. CPA, PC City:
State: Zip Code:
‘Fr* ,
..7;," tV91376/)NitY
Account Type: O DDA (US) O Swift
Intermidiary Bank
AccounUCode:
Intermediary Bank Name:
1 7*gir l:1
Payment Details (Reference/ Advice Description/Addenda)
Invoices: 1000005177 & 1000005552
07/18/13
AutnoriZed By Date
Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059446
EFTA01580171