Certificate of Translator

TO: Name of Party Receiving Certificate

The undersigned hereby certifies that:

1. I have carefully reviewed the Describe Document Being Translated (ie. Marriage
Certificate of Jane Smith and Jack Jones Issued by the Government of ___ on May 6,
1956) (the "Document") which is in the Name of Language Document is Prepare In (ie.
German) language.

2. I am fluent reading and writing in the Name of Language Document is Prepare In (ie.
German) language.

3. Attached hereto and marked as Exhibit "A" is an official translation of the Document

Dated: Effective Date of (ie. July 1, 2000)

Witness Name of Translator Signing

Certificate
Address of Translator