Instructions:
Heading: Enter your state. Next enter the County that you reside in.
After the word I, enter your full legal name and then enter your full address, including city, state and zip code.
Paragraph 1: Enter what language other than English you are fluent in.
Paragraph 2: Enter the name of the document that you are translating in the first blank line and on the second blank line enter the language that the document is written in.
Sign this document in front of a notary public.