Consumer

JPMorgan Chase Bank N.A. International Wire Transfer Combined Disclosure and Receipt
Ohio/West Virginia Markets
P O Box 260180
Baton Rouge, LA 70826-0180 CUSTOMER SERVICE INFORMATION

WebSite: www.Chase.com
Service Center: 1-800-935-9935
Hearing Impaired: 1-800-242-7383
Para Espanol: 1-877-312-4273
00013422 DDA 001 LA 10205 – YYN T 1 00000000 07 0000 International Calls: 1-713-262-1679
Company Name
Company Address
State, Zip

CHECKING
SUMMARY INSTANCES AMOUNT
Beginning Balance $81,607.40
Deposits and Additions 10 125,883.63
Checks Paid 2 - 3,169.04
Other Withdrawals, Fees & Charges 4 - 15,025.68
Ending Balance 16 $189,296.31

This message confirms that you have overdraft protection on your checking account.

DEPOSITS AND ADDITIONS

DATE DESCRIPTION AMOUNT
07/02 Deposit $17,120.00
07/09 Deposit 24,610.00
07/14 Deposit 11,424.00
07/15 Deposit 1,349.00
07/21 Deposit 5,000.00
07/21 Deposit 3,120.00
07/23 Deposit 33,138.00
07/28 Deposit 18,114.00
07/30 Deposit 6,908.63
07/30 Deposit 5,100.00
Total Deposits and Additions $125,883.63

JPMorgan Chase Bank, N.A. Member FDIC

Consumer International Wire Transfer Combined Disclosure and Receipt Page 1 of 4

JPMorgan Chase Bank, N.A. Member FDIC

 Consumer International Wire Transfer Combined Disclosure and Receipt

BALANCING YOUR CHECKBOOK

Note: Ensure your checkbook register is up to date with all transactions to date whether they are included on your statement or not.

1. Write in the Ending Balance shown on this statement: Step 1 Balance: $

2. List and total all deposits & additions not shown on this statement:

Date Amount Date Amount Date Amount

Step 2 Total: $

3. Add Step 2 Total to Step 1 Balance. Step 3 Total: $

4. List and total all checks, ATM withdrawals, debit card purchases and other
withdrawals not shown on this statement.

_C_h_e_c_k_N_u_mb_e_r_o_r_D_a_t_e A_mo_u_n_t Ch_e_c_k_N_u_mb_e_r_o_r_D_a_t_e

A_mo_u_n_t

Step 4 Total: -$

5. Subtract Step 4 Total from Step 3 Total. This should match your Checkbook Balance: $

IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR ELECTRONIC FUNDS TRANSFERS: Call or write us at the phone number or
address on the front of this statement (non-personal accounts contact Customer Service) if you think your statement or receipt is
incorrect or if you need more information about a transfer listed on the statement or receipt.. We must hear from you no later than
60 days after we sent you the FIRST statement on which the problem or error appeared. Be prepared to give us the following
information:
 Your name and account number
 The dollar amount of the suspected error
 A description of the error or transfer you are unsure of, why you believe it is an error, or why you need more information.
We will investigate your complaint and will correct any error promptly. If we take more than 10 business days (or 20 business days
for new accounts) to do this, we will credit your account for the amount you think is in error so that you will have use of the money
during the time it takes us to complete our investigation.

IN CASE OF ERRORS OR QUESTIONS ABOUT NON-ELECTRONIC TRANSACTIONS: Contact the bank immediately if your statement
is incorrect or if you need more information about any non-electronic transactions (checks or deposits) on this statement. If any
such error appears, you must notify the bank in writing no later than 30 days after the statement was made available to you. For
more complete details, see the Account Rules and Regulations or other applicable account agreement that governs your account.

JPMorgan Chase Bank, N.A. Member FDIC

JPMorgan Chase Bank, N.A. Member FDIC

Consumer International Wire Transfer Combined Disclosure and Receipt
Page 2 of 4

JPMorgan Chase Bank, N.A. Member FDIC

 Consumer International Wire Transfer Combined Disclosure and Receipt

CHECKS PAID
DATE
CHECK NUMBER DESCRIPTION PAID AMOUNT
XXXX ^ 07/14 $1,471.99
XXXX ^ 07/08 1,697.05
Total Checks Paid $3,169.04
If you see a description in the Checks Paid section, it means that we received only electronic information about the check,
not the original or an image of the check. As a result, we're not able to return the check to you or show you an image.
^ An image of this check may be available for you to view on Chase.com.

OTHER WITHDRAWALS, FEES & CHARGES

DATE DESCRIPTION AMOUNT
07/11 Online Payment XXXXX To Vendor $8,928.00
07/11 Online Payment XXXXX To Vendor 2,960.00
07/25 Online Payment XXXXX To Vendor 250.00
07/30 ADP TX/Fincl Svc ADP 2,887.68
Total Other Withdrawals, Fees & Charges $15,025.68

DAILY ENDING BALANCE

DATE AMOUNT DATE AMOUNT
07/02 $98,727.40 07/21 129,173.36
07/08 97,030.35 07/23 162,311.36
07/09 121,640.35 07/25 162,061.36
07/11 109,752.35 07/28 180,175.36
07/14 108,280.36 07/30 189,296.31
07/16 121,053.36

SERVICE CHARGE SUMMARY

NUMBER OF
TRANSACTIONS FOR SERVICE FEE TRANSACTIONS
CALCULATION
Checks Paid / Debits 3
Deposits / Credits 10
Deposited Items 21
Transaction Total 34

SERVICE FEE CALCULATION AMOUNT

Service Fee $0.00
Service Fee Credit $0.00
Net Service Fee $0.00
Excessive Transaction Fees (Above 200) $0.00
Total Service Fees $0.00

JPMorgan Chase Bank, N.A. Member FDIC

Consumer International Wire Transfer Combined Disclosure and Receipt Page 3 of 4

JPMorgan Chase Bank, N.A. Member FDIC

 Consumer International Wire Transfer Combined Disclosure and Receipt

CUSTOMER SERVICE INFORMATION

WebSite: www.Chase.com
Service Center: 1-800-935-9935
Hearing Impaired: 1-800-242-7383
Para Espanol: 1-877-312-4273
International Calls: 1-713-262-1679

Acknowledgement Receipt - RTGS/NEFT Fund Transfer

Transfer Type : NEFT

From Account Number : 60037542423
Beneficiary's Account Number : 32786159707
Beneficiary's Name :
Beneficiary's Nick Name :
Beneficiary's Mobile Number :
Beneficiary's IFSC Code : SBIN0003588
Beneficiary's Bank Name : BANK OF
Beneficiary's Branch Name :
Transfer Amount : DLLS
Amount In Words :
Remark :
UTR No : MAHBH15042659891
User ID : 40017877859
User Name :
Transaction Date : 2015/02/11 12:11:25 PM
Status : SENT

IMPORTANT INFORMATION

It is your responsibility to ensure that the details provided by you in making your ANZ International Money Transfer
request are correct.

If incorrect details are provided by you, your ANZ International Money Transfer may be unsuccessful or may be
paid to an unintended recipient and they may not be recovered. We do not check that the details provided by you
are correct.

You cannot delete or cancel an International Money Transfer payment instruction within Internet Banking. If you
wish to delete or cancel a payment instruction please contact us.

JPMorgan Chase Bank, N.A. Member FDIC

 Consumer International Wire Transfer Combined Disclosure and Receipt

JP Morgan Chase Bank, N.A

Branch Name
Address and number
City, state

Today’s Date: Date funds Available to Recipient:

Wire Transfer Date: Chase Wire Tracking Number:

Sender:
Name of that guy

Recipient:
Persons name who is receiving

00002546214418458
Name again and type of account

Recipient Bank:
Name of bank
Address
City and state

Swift Code for that bank

Exchange Rate: $1 USD = 1 USD

Amount Sent and Charges: Amount to be Received by the Recipient:

Transfer Amount: $ .00 Transfer Amount: $ .00 MXN

Transfer Fees: + .00 Other Fees* -0.00 MXN
Transfer Taxes: +$0.00

Total: $ .00 Total to Recipient: 0,000.00

*charged by other institutions

The recipient may receive less due to fees charged by the recipient’s bank and foreign taxes.

If you provided us an incorrect account number for the recipient or an incorrect routing or identification
number for the recipient’s bank you could lose the amount of the transfer.

You have a right to dispute errors in your transaction. If you think there is an error, contact us within 180 days at 1-
888-434-3030 or send an account inquiry via Secure Message Center on chase.com. You can also contact us for a
written explanation of your rights.

You can cancel this wire transfer at no cost within 30 minutes after you have authorized us to send this wire
transfer. Please contact 1-800-935-9935 or visit a Chase branch.

If you have question or complaints about JPMorgan Chase Bank, N. A. contact:

Consumer Financial Protection Bureau
1-855-411-2372
1-855-729-2373 (TTY/TDD)

JPMorgan Chase Bank, N.A. Member FDIC

 Consumer International
www.consumerfinance.gov Wire Transfer Combined Disclosure and Receipt

JPMorgan Chase Bank, N.A. Member FDIC