EFTA Document EFTA01580480

Funds Transfer Request (Pious - yes InStructals) 1. • Effective Date: ac - 11/16(12 Please enter current or future dale orgy Select Appreciate Payment Type and Fled; will be Displayed 0 JPMC Transfer Principal: Eat Debit Account #: Mir 0 ACH J.P.Morgan 47W ei r ea tti n 4i_ , • 'sr 0 Check O Domestic Wire $25,000.00 Income: pa Debit Account Title: Jeffrey E Epstein O International Wire nfrth _. ea. 47vinny apae;aeaii, +-AT Receiving Bank ABA: Receiving Bank Name: Beneficiary Account N: Beneficiary Name: Address 1: 90 Fifth Avenue TD Bank Address 2: MC2 Model Management City: Stale: New York NY Zip Coda: 10011 goys Ag 7 7,13 Account Type: Intermidiary Bank Accoum/Cocle: Intermediary Bank Name: W PM .004 it. "ME 0 DDA (US) 0 Swift 0 Other n -TiRn1.!%y.k:Pe.W.Sr:7717;1 7C4.-c *.W1 waSieSearifitPkgz€ Payment Details (Reference/ Advice Description/Addenda) ti Authorized By 11/161/2 Date ID: 036211167188010 DATE. 11116201216':09:00 Page 2 of 2 DID: 8887316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059819 EFTA01580480