DECLARATION AND CERTIFICATION OF TRANSLATION Pursuant to Government Code Section 27293 I, ________________________________, declare that I am a certified or registered court interpreter as described in Section 68561 of the Government Code or an accredited translator registered with the American Translators Association. I can interpret and translate from the __________________________ language to the English language. I further declare that I have translated the attached document from the _______________ language to the ENGLISH language. I declare to the best of my abilities and belief, that this is a true and correct translation of the __________________________ language text of ______________________________________________ (Insert title of document) Specific Description of the Document _____________________________________________________________________ _____________________________________________________________________ I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date Print Name of Interpreter Place Signature Certificate of Acknowledgement State of _________________________County of _______________________________ On___________________, before me,________________________________________, personally appeared ___________________________________________ who proved to (name and title of the officer) me on the basis of satisfactory evidence, to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ______________________________________________________ WITNESS my hand and official seal. Notary Signature 01/2008 American LegalNet, Inc. www.FormsWorkflow.com