Funds Transfer Request (Please Type Instructions)
J.P.Morgan
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Effective Date: 01/16/13
Please enter current or future One only
Select Appropiate Payment Type and Fields will be Displayed
O JPMC Transfer O ACH O Check O Domestic Wire O International Wire
Principal: 560.000.00 InalMc!:
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Debit Account 0:
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Debit Account Title:
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Jeffrey E. Epstein
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Address 1:
Receiving Bank ABA: 1519 Ponce de Leon Avenue
Receiving Bank Name: FirstBank, Puerto Rico Address 2:
Beneficiary Account 0:
Beneficiary Name: LSJ Empluyees LW City: Santurce
State: PR Zip Code: 00908
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Account Type: O DDA (US) O swat O Other
Intermidiary Bank
Account/Code:
Intermediary Bank Name:
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Payment Details (Reference/ Advice Description/Addenda)
01/16/13
Authorized By Date
ID. 036301169081728 DATE 01/1W013 16 50•00 Page 2 of 4 DID: 8887316607 CSID: INDEX1: INDEX2
Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059740
EFTA01580413