EFTA01580447.pdf

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 .-, aki afrilWR I fr 4S i aK. n n ' AAatr,rrn " 7.7e- -fk uattaL 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: :trOteR6TOlgifirt W , _MC-9v774 f' iNFST °, 4. "Aig glitia .At.t -77 • ?< Account Type: DDA (US) O Swift O Other htcrnidiary Bans 121042484 AcccuntiCode: Intermediary Bank Name: Pacific Coast Bankers Bank Mt? p. • 04.74 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