Sorry, since I'm not sure where on the form this blank is, I don't think I can help. Is it where they want to your state so you can get updates according to your state law? Everything else should be self explanitory.
Good question. Quicken can probably give the legal answer. California states city OR county and state. I chose to print city, county and state. My guess is too much accurate information is OK. A lack of required information may be a legal issue.