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Fill and Sign the Arkansas Revised Form

Fill and Sign the Arkansas Revised Form

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Open the document and fill out all its fields.
Apply your legally-binding eSignature.
Save and invite other recipients to sign it.

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DONATION PURSUANT TO THE ARKANSAS REVISED UNIFORM ANATOMICAL GIFT ACT (Arkansas Code 20-17-120i et seq. ) In the event of my death, I donate the following part(s) of my body for the purposes identified in Arkansas Code 20-17-1211: TISSUE:       Eyes       Bone and connective tissue       Skin       Heart Other: _______________________________________________________________ Limitations: _____________________________________________________________________ ORGAN:       Heart       Kidney(s)       Liver       Lung(s)       Pancreas Other: _______________________________________________________________ Limitations: _______________________________________________________________ Signed this day of       , ___________________ , 20       , Signature __________________________________________________________ Place _______________________________________________________________ If the donor or other person is physically unable to sign a record, the record may be signed by another individual at the direction of the donor or other person and must: (1) be witnessed by at least two adults, at least one of whom is a disinterested witness, who have signed at the request of the donor or the other person; and (2) state that it has been signed and witnessed as provided in paragraph (1). WITNESS FORM The witnesses below declare that they are signing at the direction of the declarant after having witnessed the signature of the declarant, have no interest in the estate of the declarant under the laws of intestate succession or any will or the declarant or codicil thereto, and are not financially responsible for the declarant’s care. Witness Signature: ________________________________________________________ Witness Name: Address: Witness Signature: ________________________________________________________ Witness Name: Address: State of _______________ Judicial District _______________ ACKNOWLEDGEMENT FORM The foregoing instrument was acknowledged before me this ____________________ (date) by ________________________________ (name of person who acknowledged). Signature of Person Taking Acknowledgement: _______________________________________________ Title or Rank: Serial Number, if any:

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  2. Click +Create to upload a document from your device, cloud, or our template repository.
  3. Access your ‘Arkansas Revised’ in the editor.
  4. Click Me (Fill Out Now) to set up the document on your end.
  5. Add and allocate fillable fields for other participants (if needed).
  6. Proceed with the Send Invite settings to solicit eSignatures from others.
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The best way to complete and sign your arkansas revised form

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