EFTA Document EFTA01580296

Funds Transfer Request (PIMA Type In*uctions) er*, i51 ( 31 A Effective Date: 04/11/13 Pismo crew current or future date only Select Appmpiate Payment Type and Fields will be Displayed O JPAAC Transfer Principal: '•?r:‘;;;X4, 0'7I° Debit Account #: 72.0. Receiving Bank ABA: O ACH O Check 0 Domestic Wire Income: $11,000.00 an,* .,.(5 739110438 Debit Account Title: Weittita tnn% "gr9.1 EmenSgate 063104927 Receiving Bank Name: IWauchula State Bank Beneficiary Account 0: Beneficiary Name: Intercoastal Builders & Roofers Inc Account Type: O DDA (US) Intermidlary Bank Account/Code: Intermediary Bank Name: Payment Details (Reference/ Advice Description/Addenda) O J.PMorgan rk International Wire .4! 'Jeffrey E Epstein Address 1: Address 2: (le City: State: Zip Code: Per Settlement Agreement & Release Authorized By 04/11/13 Date ID: 036304114827391 DATE: 04/11/2013 20.27:00 Page 2 of 3 DID: 8887316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059603 EFTA01580296