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EXECUTE a SEPARATE DOCUMENT for that PURPOSE  Form

EXECUTE a SEPARATE DOCUMENT for that PURPOSE Form

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DOCUMENT DOES NOT AUTHORIZE ANYONE TO MAKE MEDICAL OR OTHER HEALTH CARE DECISIONS FOR YOU. YOU MAY EXECUTE A SEPARATE DOCUMENT FOR THAT PURPOSE. IF THERE IS ANYTHING ABOUT THIS FORM THAT YOU DO NOT UNDERSTAND, YOU SHOULD ASK A LAWYER TO EXPLAIN IT TO YOU. KNOWN BY ALL PERSONS PRESENT, THAT: I, __________________________________ (name), _____________________________ (address), “Principal”, execute this Durable Power of Attorney and do hereby make,...
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