Funds Transfer Request (Please Typa ImtilietiOM)
J.P.Morgan
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Effective Date: 06/0O3
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0 JPMC Transfer 0 ACM 0 Check 0 Domestic Wire International Wire
Principal: $250,000.00 Income:
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Debit Account I: Debit Account Title:
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Address 1:
Receiving Bank ABA:
Receiving Bank Name: [IP Morgan Chase Address 2:
Beneficiary Account
Beneficiary Name:
lDarren K Indyke PLLC
1 City:
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State: Zip Code:
1
Account Type: LJ DOA (US) Swift 0 Other
Intormidiary Bank
Account/Code:
Intermediary Bank Name:
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Payment Details (Reference/ Advice Description/Addenda)
[00/03/13
Authorized By Date
ID: 036306067532419DATE: 06!061201317:24:00Page 2 of 2 DID: 8887316607CSID: INDEX1: INDEX2:
Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059519
EFTA01580229