EFTA01580345.pdf

Funds Transfer Request (Please Type InstructIon,$) J.P. Morgan MaTIreaMair Effective Date: 03/14/13 Please Mot current or future dale only Select Appropiate Payment Type and Fields will bu Displayed 0 JPMC Transfer O ACH 0 Check O Domestic Wire O International Wire Principal $30,000.00 Income: 1 Debit Amount #: Debit Account Financial Trust Company neceiying Pa lftlOmiatton.. ,. Address 1: Receiving Bank ABA: 221571473 P. O. BOX 9146 Receiving Bank Name: FIRST BANK, PUERTO RICO Address 2: Beneficiary Account #: 1519 Ponce Do Loon Avenue Beneficiary Name: FINANCIAL TRUST COMPANY. INC City: Santurce State: PR Zip Code: 00948 e,v n•ps, T,tet, Pay;Throughiltaatiftedlary Party.(ftegOladd) • , . Account Type: 0 DOA (US) C) Swift 0 Other Intermediary Bank Account/Code: Intermediary Bank Name: Laifit-4.4 Payment Details (Reference/Descriplion/Addenda) (Payroll transfer Authorized By 03/14/13 Date uthoreCd ID: 036303143401381 DATE 03/14/2013 19 35 00 Page 3 of 3 DID 8887316607 CSID. INDEX1 INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059655 EFTA01580345