EFTA01580142.pdf

Funds Transfer Request (Please Type Insiructions) J.P.Morgan C‘fireatH •SL Effective Date: 07/30/13 Mean enter current or Ivtute claw Cray Select Appropiate Payment Type and Fields WI be Displayed O JPMC Transfer O ACH O Check 0 Domestic Wire O International Wire Principal: S12.000.00 Income: o PACUti Debit Account P: Debit Account Title: Jeffrey E. Epstein ;a'fAMNIA' gkik Address 1: Receiving Bank ABA: Receiving Bank Name: JP Morgan Chase Address 2: Beneficiary Account it: 783607682 Beneficiary Name: City: State: Zip Code: Ficittr itk eNr' Account ype: 0 DOA (US) 0 Swift 0 Othe Intermidiary Bank Account/Code: Intermediary Bank Name: 4.4 .• leettA$ 2t14'. Payment Details (Reference/ Advice Desaiption/Addenda) 07/30/13 Authoried By Date ID: 036307301067392 DATE' 07/30/2013 20:18:00 Page 2 of 6 DID: 8887316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059406 EFTA01580142