Funds Transfer Request (Please hese instructons)
JP Morgan
Effective Date: 12/12/12
Please enter current cr future date only
Select Appropiate Payment Type and Fields wili be Displayed
O JPMC Transfer O ACH O Check O Domestic Wire O Internet onal Wre
Principal: $25,000.00 Income:
Debi Account • 739110438 Debit Account Title: Jeffrey E Epstein
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Address 1:
Repaving Hank ABA: 121042484 4608 Tuta Park Mall
Receiving Bank Name: Mervants Commercial Bank alcil 021606742 Address 2:
Beneficiary Account #: 10007094
Beneficiary Name: Kellerhals Ferguson Fletcher LLP City: St Thomas USVI
State: Zip Code:
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Account Type: DDA (US) O Swift O Other
htcrnidiary Bans 121042484
AcccuntiCode:
Intermediary Bank Name: Pacific Coast Bankers Bank
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Payment Derails (Reference: Ad/ice Doser iption/Addonda)
12/12/12
Autholzed Dy Dale
ID: 036212128059649 DATE 12/12/2012 21:23:00 Page 4 of 7 DID: 8887316607 CSID: INDEX1: INDEX2
Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059782
EFTA01580447