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Fill and Sign the 20 Do Hereby Revoke Such Gift Pursuant to New York Form

Fill and Sign the 20 Do Hereby Revoke Such Gift Pursuant to New York Form

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REVOCATION OF ANATOMICAL GIFT I, ___________________________________________________________________, Declarant, having made an anatomical gift by virtue of that document of gift dated the ________ day of ________________________, 20___, do hereby revoke such gift pursuant to New York Consolidated Laws, Public Health, Section 4305, which provides that an anatomical gift may be revoked at any time by: 1. If the will, card, or other document or executed copy thereof has been delivered to a specified donee, the donor may amend or revoke the gift by:(a) the execution and delivery to the donee of a signed statement, or(b) an oral statement of revocation made in the presence of two persons, communicated to the donee, or(c) a statement during a terminal illness or injury addressed to an attending physician and communicated to the donee, or(d) a signed card or document, found on one's person or in one's effects.2. Any document of gift which has not been delivered to the donee may be revoked in the manner set out in subdivision one of this section or by destruction, cancellation, or mutilation of the document and all executed copies thereof.3. Any gift made by a will may be revoked or amended in the manner provided for revocation or amendment of wills or as provided in subdivision one of this section.This is my written revocation of my anatomical gift and is provided to all persons to whom I have provided a copy of my document of anatomical gift.DATED this the _________ day of ______________________________, 20____.Signature of Declarant: ________________________________________________Printed Name of Declarant: ________________________________________________Address of Declarant: ________________________________________________ ________________________________________________

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20 do hereby revoke such gift pursuant to new york 2021
New York General Obligations Law Article 5, Title 15

The best way to complete and sign your 20 do hereby revoke such gift pursuant to new york form

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How to Sign a PDF on a Mobile Device How to Sign a PDF on a Mobile Device How to Sign a PDF on a Mobile Device

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