EFTA01580467

Funds Transfer Request (Please Type insinicsons) Lars Effective Dale: 11/29/12 Please enter current or rutore slate Gray Select Appropicte Payment Type and Fields wif be Displayed 0 JPMC Transfer O ACH C) Check O O Domestic Wire J.P. Morgan International Wre v el Principal: 6125,000.00 Income: Debit Account Tale: Won -Z.1151' Address Debit Account N: iikt!& Receiving Bank ABA: Receiving Bank Name: Beneficiary Account N: Beneficiary Name: n?:arfg..71Str T./ . • 739110438 Jelfrey E. Epstein (72.7.XPR retwi WW4W IT,373129WaVeatifr$ '" ArkaAiXA-Kaitiarn.4 .$•15.ett.- -.44r,t 1: 060004367 25 West Fleeter Street City National Bank of Florida Address 2: 1753864696 Fowler White Burnett PA , Trust AC City: State: Miami FL Zip Code: 33130 Account Type: Intermidiary Bank AccounUCode: Intermediary Bank Name: ry.Kg4..:Thrit Payment Details (Reference/ Advice Description/Addenda) DDA (US) 0 Swift 0 Other Per Settlement Agreement and Mutual General Release L Autho ized By 11/29/12 Date ID 036211297570121 DATE: 11/29/7017 17 21M7o9kt 2 of 2 olo751/3993691/21089PIDEX1 INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059806 PAGE 2 OF 2 EFTA01580467