EFTA01580102.pdf

Funds Transfer Request (PIM. Type Instartions) J.P. Morgan ItiK itl,;e7T` ;-,, ry ti Ig( Effective Date: 09/03/13 Please enter current or future dote arty Select Appropiate Payment Type and Fields will be Displayed 0 JPMC Transfer (Ti ACH 0 Check 0 Domestic Wire O International Wire Principal: $15,000.00 Income: Tralat. 4.r d. • ittift:-.&" Debit Account #: Debit Account Title: Jelrey E. Epstein .23,;.%: 14733e.lir f MA t.. :%*.k5r.nati Address 1: Receiving Bank ABA: Receiving Bank Name: JPNlorgen Chase Address 2: Beneficiary Account $: Beneficiary Name: City: State Zip Code: Account Type: intermidiary Bank Account/Code: Intermediary Bank Name: say ../ Payment Details (Reference/ Advice Description(Addenda) 09/03/13 Date ID: 036309032644569 DATE 09/03/2013 20:57:00 Page 2 of 2 DID: 8887316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059353 EFTA01580102