Translation Of Affidavit {FA-HA-15}

TRANSLATION OF AFFIDAVIT G.L. c. 209A or G.L. c. 258E COURT USE ONLY ­ DOCKET NO. TRIAL COURT OF MASSACHUSETTS __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ The affidavit was originally written in __________________________. (language) __________________________________________________________________________________________________________________ At the Courts request, I have provided a written translation into English, complete and accurate to the best of my ability. Print Name FA/HA-15 (1/12) Signature ______________________________________ ______________________________________ Court Certified Interpreter Court Screened Interpreter Other _________________________ Remote Translation Via Telephone/Video American LegalNet, Inc. www.FormsWorkFlow.com