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Fill and Sign the Durable Power of Attorney for Health Care Decisions Decatur Form

Fill and Sign the Durable Power of Attorney for Health Care Decisions Decatur Form

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REVOCATION OF DURABLE POWER OF ATTORNEYFOR HEALTH CARE DECISIONS I, ___________________________________________________________________, Declarant, having executed a Durable Power of Attorney for Health Care Decisions on the ________ day of ________________________, 20____, naming _______________________________________ ___________________________________ my attorney-in-fact/agent, do hereby revoke that Power of Attorney pursuant to its explicit provision that it may be revoked by me. This is my written revocation of the above referenced Durable Power of Attorney for Health Care Decisions and I am providing a copy of it to my attorney-in-fact/Agent.DATED this the _________ day of ______________________________, 20____.Signature of Declarant: ________________________________________________Printed Name of Declarant: ________________________________________________Address of Declarant: ________________________________________________ ________________________________________________

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The best way to complete and sign your durable power of attorney for health care decisions decatur form

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