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Fill and Sign the 20 Do Hereby Revoke Such Gift Pursuant to Nrs 451 Form

Fill and Sign the 20 Do Hereby Revoke Such Gift Pursuant to Nrs 451 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 NRS 451.555, which provides that an anatomical gift may be revoked at any time by: (a) A signed statement; (b) An oral statement made in the presence of two persons; (c) Any form of communication during a terminal illness or injury addressed to a physician; or (d) The delivery of a signed statement to a specified donee to whom a document of gift had been delivered.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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How to Sign a PDF on Android How to Sign a PDF on Android

How to fill out and sign documents on Android

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