Jul-2 0-2 010 0 8:4 0 AM JPMorgan Chase 3 0 2-6 3 4-5 9 5
5
1/1
Sweep Deadline (circle one)
PB Funds Transfer Form/Input
Guide
11:30 1:30 4:30 N/A
EST JP Morgan
8:30 10:30 1:30 N/A PST
Today's Date 7/19/2010 Time 5:18
PM Execution Date 1 1 iD lAinount
2z $126,705.79
Debit Account Number: Debit Account Title:
Jeffrey Epstein
Debit Account Type
Cusotody Principal 0 Custody Income J
DDA Trust Principal 111 Trust Income 1:
MMIA Advisory Principal 0 Advisory Income
JPM Funds Il Asset Allocation(PAAS) 0 Offshore Fund
0
Payment Information (Select One)
f.) Internal Transfer (Related, Non-Related)
Credit Account Number: Principal** **Check Sweep Deadline
Account Title: Income
2.1 Money Transfer
Wire n Book E
FX
EFTA01591892
Payee Bank ABA FFC
NC.
it ,
Payee Bank Name: JPM Chase Bank NA 3r--- FC. I\
(C NAM c :
LSJ LLC
For Account Number:
For Account Name: Chase VISA
3.) Treasurer's Check/PC Draft
Print Check In : El NY II DE
Payee Name:
Payee Address:
For Account Of:
Refcrence/Advice Desciiption/-
Comments:
::4.::0.06:hdf:reciyire:-:4-4,0ba--0. .'
Credit Card Payment
'-'0 16*.-
$5KIICIVOrc#::4,,,01104* ' L
Payment Instructions Originator Method of Communication (If Not Morgan
Initiated)
Morgan
EFTA01591893
Initiated El Written Request
• Telephone Request
Client
Initiated II Fax Request
uEmail Request**
**Callbacks must still be done
Initiator's Name & Ext Stamp Initiator's
Signature
Bill Doherty
Authorizer's Name & Ext Stamp Authori r's Signature
Client/Caller Name: Harry Beller
Client Telephone:
Call Back Name: Bill Doherty
Call Back Signature: Ext:
Call Back Date: 7/16/10 Time: 3:30pro
CMS/Global Hold Approval: Obtained: 0 N/A
DDA Overdraft Approval: Obtained: 0 N/A
ID: 036007208589490 DATE: 07/20/2010 12:42:00 PM DID:
8887316607 CSID: Page 1 of 1
EFTA01591894