EFTA01580401.pdf

Funds Transfer Request (Please Type Instnicbons) J.P.Morgan '..•. 4 .4.;-. -e 4'4 t ae USE) rrar)51 One Jet a Effective Date: 01/24/13 Please enter current or future dale only Select Approptate Payment Type and Fields will be Displaycm O JPMC Transfer O ACH O Check O Domestic Wire O Internationcl Wro Principal: $3.000.00 Income: Originator Information' Debit Account it 739110438 Dcbil Account 'Jeffrey E. Epstein Address 1: Receiving Bank ABA: C21000021 Receiving Bank Name: JP Morgan Chase Address 2: Beneficiary Account is 819949496 Beneficiary Name: Ion Nicola City: State: Zip Code: Account Type: O [MA (US) O Swift O Other Intermidery Bank Account/Code: Intermediary Bank Nemo: OBEK1 ,i„nw...R,r3;nzapt wornai. .,,bal\MSaSzett galfel'w4 Payment Details (Reference! Advice Description/Addenda) Invoice: Apt 3M 01(24/13 Authorized By Date ID. 036301249869706 DATE- 01/24/2013 21.59:00 Page 3 of 3 DID: 8887316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059724 EFTA01580401