Fill and Sign the Maryland Notaries Public Maryland Secretary of State Form

MASSACHUSETTS GENERAL DURABLE POWER OF ATTORNEY U.S. Legal Forms, Inc. http://www.uslegalforms.com This form is designed to be completed on your computer. To do so, use your mouse and click on each field which will be highlighted in gray. This will replace the gray with the words you type. Example: _____________________________[1] will become JOHN DOE . If you ordered and received this form in hard copy, you may also use these instructions to complete the form, leaving the reference numbers, and placing the names, etc. you desire next to the field numbers. All other blanks in the form are typically completed by hand, such as the day, month and year, etc. Once you have completed the form, double check all entries and then print. FIELDS TO BE COMPLETED Field [1]: Your Name. Field [2]: You Address. Field [3]: Attorney/Agent’s Name. Field [4]: At torney/Agent’s Address
Field [5]: field [6]: field [7]: address of a person to whom you are/are represented, if you are not sure at this time when you can be contacted. Field [8]: field [9]: address of a place where you can be contacted. Field [10]: field [12]: field [13]: your telephone number. Field [19]: your telephone phone. For faxes and electronic communications, your fax or e-mail address should be entered first on [19] only. If you are providing this information for a physician you will need to include that physician's email address on the form. You may complete the application to obtain a durable power of attorney using one of two methods, each of which will require that you fill out all the available fields. To do so, use your mouse and click on each field which will be highlighted in gray. This will replace the gray with the words you type. Example: [1] will become john doe . If you ordered and received this form in hard copy, you may also use these instructions to complete the form, leaving the reference numbers, and placing the names, etc. You desire next to the field numbers. All other blanks in the form are typically completed by hand, such as the day, month and year, etc. Once you have completed the form, double check all entries and then print. Fields to be completed field [1]: your name. Field [2]: you address. Field [3]: attorney/agent’s name. Field [4 at torney/agent’s addre field [