EFTA Document EFTA01580145

Funds Transfer Request (Please Type keractiOna) Effective Date: 07/30/13 Please enter cwrenl or tutus Pale only Select Appropiate Payment Type and Fields will be Displayed O JPMC Transfer Principal: PilJ Debit Account #: Receiving Bank ABA: Receiving Bank Name! Beneficiary Account 0: Beneficiary Name: O ACH O O Check $5,000.00 Income: Domestic Wire Debit Account Title: Address 1: 3g,witizzaw , Account Type: O DDA (US) Intermidiery Bank Account/Code: Intermediary Bank Name: rif Y:9R9 Payment Details (Reference/ Advice Description/Addenda) O Swat IPMorgan IEL International Wire Jeffrey E. Epstein Address 2: City: State: O Other Zit Code: I 1 r Authorized By 07/30/13 Date ID: 036307301067392 DATE! 07/30/2013 20:18:00 Page 5 of 6 DID: 8887316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059409 EFTA01580145