Funds Transfer Request (Please Type Insructions)
J. P. Morgan
Effective Date: 02/15/13
Please anter ascent or Muni dote only
Select Apprrpiata Payment 7ype and Fields will he Displayed
0 JPMC Transfer 0 ACH O Check O Domestic Wire O International Wire
Principal: $25,000.00 Income:
Debit Account S: Debit Account Title: Jeffrey E Epstein
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Address 1
Receiving Bank ABA: 1
401 East Jackson Street
Receiving Bank Name: Suntrust Bank Ackiress 2:
Beneficiary Account #:
Beneficiary Name: Kellerhals Ferguson Fletcher Krobli City: Tampa
Staler FL Zip Code:
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Account Type: 0 ODA (US) 0 Swift
Inlennkhary Bank
AccounUCode:
Intermediary Bank Name:
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Payment Details (Reference/ Advice Description/Ackienda)
gzi 02/15/13
Authorized By Date
ID. 036302151974008 DATE: 0211 6r2013 19 OfWagN3 of 4 00:219 3731013ASA1NDEX1: INDEX2 PAGE 3 OF 4
Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059702
EFTA01580383