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Fill and Sign the Iowa Durable Poa for Healthcare Lawpower of Attorney Form

Fill and Sign the Iowa Durable Poa for Healthcare Lawpower of Attorney 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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REVOCATION OF DURABLE POWER OF ATTORNEY FOR 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. 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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