1 First Bank Transfer Application FOR BANK USE ONLY BRANCH NO. PREFIX TEST KEY DATE TIME TRANSFER TYPE: H WIRE n CABLE K DRAFT n Mail to Customer r—1 Mail to Payee f—1 Send to Branch REP SIGNATURES (Complete appropriate boxes); KEY MODIFY MODIFY APPROVE IF TRANSFERRING FOREIGN CURRENCY: CONTRACT NO VALUE DATE CONVERSION RATE CONVERTED BY (Initials) TRANSFER AMOUNT (FOR BANK USE ONLY) FOREIGN CURRENCY (Type and Amount) TRADER'S NAME 52,500.00 U.S. DOLURS NOTE: • Foreign currency amount multiplied by the exchange rate = U.S. dollar Amount. * U.S. Dollar amount divided by the exchange rate = Foreign Cunency Miount. ADDITIONAL FEES TOTALAMOUNT METHOD OF PAYMENT; INTERMEDIARY CORRESPONDENT BANK: (If necessary) DEBIT ACCOUNT NO. DEBIT BRANCH/DEPT. NO. 717 ABA ROUTING NOJSWIFT CODE 717-1-018893 NAME/ACCOUNT TITLE J. Epstein Virgin Islands Foundation EFTA01434373