Funds Transfer Request (Please Type Instructions)
J.P.Morgan
Effective Date: 04/05/13
Please enter cun-enl cx tuba date only
Select Appropiatc Payment Type and Fields will be Displayed
O JPMC Transfer O ACH at Domestic Wire O International Wire
$50,000.00
ark) nator
Retorcr a
Address 1:
Receiving Bank ABA:
Receiving Bank Name: JPMorgan Chase Address 2:
Beneficiary Account 0:
Beneficiary Name: Neptune LLC City:
State: Zip Code:
Account Type: O DDA (US) O Swift O offs
Intermidiary Bank
Account/Code:
Intermediary Bank Name:
Payment Daises (Reference/ Advice Description/Addenda)
(/05/13
Authorized By Date
ID: 036304054516654 DATE: 04/05201313:20:00 Page 2 of 2 DID: 8887316607 CSID: INDEX1: INDEX2
Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059612
EFTA01580305