Power of Attorney Forms - US Midwest - Page 4

497318327-revocation-of-power-of-attorney-nebraska

Revocation of Power of Attorney - Nebraska

Revocation of power of attorney , a domiciliary of county, nebraska, desiring and intending under the nebraska short form act to revoke a previously effectuated power of attorney heretofore granted to or to each of of or with an office in county,...

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Revocation of Power of Attorney - Nebraska
497306453-revocation-of-power-of-attorney-for-care-of-child-or-children-illinois

Revocation of Power of Attorney for Care of Child or Children - Illinois

Revocation power of attorney:care and custody of child or childreni, , declarant, having executed a power of attorney: care and custody of child or children on the day of , 20 , naming my attorneyinfact/agent, do hereby revoke that power of...

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Revocation of Power of Attorney for Care of Child or Children - Illinois
497307122-revocation-of-power-of-attorney-for-care-of-child-or-children-indiana

Revocation of Power of Attorney for Care of Child or Children - Indiana

Revocation power of attorney:care and custody of child or childreni, , declarant, having executed a power of attorney: care and custody of child or children on the day of , 20 , naming my attorneyinfact/agent, do hereby revoke that power of...

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Revocation of Power of Attorney for Care of Child or Children - Indiana
497326411-revocation-of-power-of-attorney-for-care-of-child-or-children-south-dakota

Revocation of Power of Attorney for Care of Child or Children - South Dakota

Revocation power of attorney:care and custody of child or childreni, , declarant, having executed a power of attorney: care and custody of child or children on the day of , 20 , naming my attorneyinfact/agent, do hereby revoke that power of...

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Revocation of Power of Attorney for Care of Child or Children - South Dakota
497306467-revocation-of-statutory-durable-power-of-attorney-for-health-care-illinois

Revocation of Statutory Durable Power of Attorney for Health Care - Illinois

Revocation ofillinois statutory short form power of attorney for health carei, , declarant, executed a short form power of attorney for health care on the day of , 20 .755 ilcs 45/46 provides that a health care agency may be revoked by the...

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Revocation of Statutory Durable Power of Attorney for Health Care - Illinois
497305196-revocation-of-statutory-durable-power-of-attorney-for-health-care-iowa

Revocation of Statutory Durable Power of Attorney for Health Care - Iowa

Revocation of durable power of attorney for health carei, , declarant, executed a durable power of attorney for health care on the day of , 20 .iowa code, 144b.8 provides that a durable power of attorney for health care may be revoked at any time...

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Revocation of Statutory Durable Power of Attorney for Health Care - Iowa
497307658-revocation-of-statutory-durable-power-of-attorney-for-health-care-kansas

Revocation of Statutory Durable Power of Attorney for Health Care - Kansas

Revocation of durable power of attorneyfor health care decisionsi, , declarant, having executed a durable power of attorney for health care decisions on the day of , 20 , naming my attorneyinfact/agent.this is my written revocation of the above...

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Revocation of Statutory Durable Power of Attorney for Health Care - Kansas
497317771-revocation-of-statutory-durable-power-of-attorney-for-health-care-north-dakota

Revocation of Statutory Durable Power of Attorney for Health Care - North Dakota

Revocation of statutory form health care directive (north dakota century code 2306.507)i, , declarant, having executed a health care directive on the day of , 20 , naming as my health care attorneyinfact/agent.north dakota century code 2306.507...

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Revocation of Statutory Durable Power of Attorney for Health Care - North Dakota
497322571-revocation-of-statutory-durable-power-of-attorney-for-health-care-ohio

Revocation of Statutory Durable Power of Attorney for Health Care - Ohio

Revocation of durable power of attorney for health carei, , declarant, executed a durable power of attorney for health care on the day of , 20 , appointing as my attorney in fact to make health care decisions for me.ohio revised code 1337.17...

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Revocation of Statutory Durable Power of Attorney for Health Care - Ohio
497306479-revocation-of-statutory-equivalent-of-living-will-or-declaration-illinois

Revocation of Statutory Equivalent of Living Will or Declaration - Illinois

Revocation of declaration (living will)i, , declarant, executed a declaration (living will) on the day of , 20 .755 ilcs 35/5 provides that a declaration may be revoked at any time by the declarant, without regard to declarant 's mental or...

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Revocation of Statutory Equivalent of Living Will or Declaration - Illinois
497305206-revocation-of-statutory-equivalent-of-living-will-or-declaration-iowa

Revocation of Statutory Equivalent of Living Will or Declaration - Iowa

Revocation of declarationi, jane doe , declarant, having executed a declaration on the 10th day of january, 2005, regarding the medical treatment i wished to receive if i should have an incurable or irreversible condition that would result either...

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Revocation of Statutory Equivalent of Living Will or Declaration - Iowa
497307667-revocation-of-statutory-equivalent-of-living-will-or-declaration-kansas

Revocation of Statutory Equivalent of Living Will or Declaration - Kansas

Revocation of declarationi, , declarant, having executed a declaration on the day of , 20 , regarding the medical treatment i wished to receive if i should have an incurable injury, disease, or illness certified to be a terminal conditionksa...

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Revocation of Statutory Equivalent of Living Will or Declaration - Kansas
497322581-revocation-of-statutory-equivalent-of-living-will-or-declaration-ohio

Revocation of Statutory Equivalent of Living Will or Declaration - Ohio

Revocation of declaration concerningthe use of life sustaining treatmenti, , declarant, executed a declaration concerning the use of life sustaining treatment on the day of , 20 , regarding my decisions and choice that my life not be prolonged by...

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Revocation of Statutory Equivalent of Living Will or Declaration - Ohio
497431233-revocation-of-statutory-power-of-attorney-for-health-care-wisconsin

Revocation of Statutory Power of Attorney for Health Care - Wisconsin

Revocation ofpower of attorney for health care (wisconsin statutes 155.40)i, , declarant, executed a power of attorney for health care on the day of , 20 , appointing an agent to make health care decisions for me if i were to be incapable of...

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Revocation of Statutory Power of Attorney for Health Care - Wisconsin
497306541-special-durable-power-of-attorney-for-bank-account-matters-illinois

Special Durable Power of Attorney for Bank Account Matters - Illinois

Special durable power of attorney for bank account mattersstate of illinois county of know all men by these presents:that i, of county, illinois, being of sound mind and memory, do hereby make, constitute and appoint as my true and lawful agent...

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Special Durable Power of Attorney for Bank Account Matters - Illinois
497307212-special-durable-power-of-attorney-for-bank-account-matters-indiana

Special Durable Power of Attorney for Bank Account Matters - Indiana

Special durable power of attorney for bank account mattersstate of indiana county of know all men by these presents:that i, of county, indiana, being of sound mind and memory, do hereby make, constitute and appoint as my true and lawful agent and...

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Special Durable Power of Attorney for Bank Account Matters - Indiana
497307728-special-durable-power-of-attorney-for-bank-account-matters-kansas

Special Durable Power of Attorney for Bank Account Matters - Kansas

Special durable power of attorney for bank account mattersstate of kansas county of know all men by these presents:that i, of county, kansas, being of sound mind and memory, do hereby make, constitute and appoint as my true and lawful agent and...

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Special Durable Power of Attorney for Bank Account Matters - Kansas
497311729-special-durable-power-of-attorney-for-bank-account-matters-michigan

Special Durable Power of Attorney for Bank Account Matters - Michigan

Special durable power of attorney for bank account mattersstate of michigan county of know all men by these presents:that i, of county, michigan, being of sound mind and memory, do hereby make, constitute and appoint as my true and lawful agent...

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Special Durable Power of Attorney for Bank Account Matters - Michigan
497313484-special-durable-power-of-attorney-for-bank-account-matters-missouri

Special Durable Power of Attorney for Bank Account Matters - Missouri

Special durable power of attorney for bank account mattersstate of missouri county of know all men by these presents:that i, of county, missouri, being of sound mind and memory, do hereby make, constitute and appoint as my true and lawful agent...

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Special Durable Power of Attorney for Bank Account Matters - Missouri
497318407-special-durable-power-of-attorney-for-bank-account-matters-nebraska

Special Durable Power of Attorney for Bank Account Matters - Nebraska

Special durable power of attorney for bank account mattersstate of nebraska county of know all men by these presents:that i, of county, nebraska, being of sound mind and memory, do hereby make, constitute and appoint as my true and lawful agent...

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Special Durable Power of Attorney for Bank Account Matters - Nebraska
497317844-special-durable-power-of-attorney-for-bank-account-matters-north-dakota

Special Durable Power of Attorney for Bank Account Matters - North Dakota

Special durable power of attorney for bank account mattersstate of north dakota county of know all men by these presents:that i, of county, north dakota, being of sound mind and memory, do hereby make, constitute and appoint as my true and lawful...

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Special Durable Power of Attorney for Bank Account Matters - North Dakota
497322646-special-durable-power-of-attorney-for-bank-account-matters-ohio

Special Durable Power of Attorney for Bank Account Matters - Ohio

Special durable power of attorney for bank account mattersstate of ohio county of know all men by these presents:that i, of county, ohio, being of sound mind and memory, do hereby make, constitute and appoint as my true and lawful agent and...

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Special Durable Power of Attorney for Bank Account Matters - Ohio
497326494-special-durable-power-of-attorney-for-bank-account-matters-south-dakota

Special Durable Power of Attorney for Bank Account Matters - South Dakota

Special durable power of attorney for bank account mattersstate of south dakota county of know all men by these presents:that i, of county, south dakota, being of sound mind and memory, do hereby make, constitute and appoint as my true and lawful...

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Special Durable Power of Attorney for Bank Account Matters - South Dakota
497431309-special-durable-power-of-attorney-for-bank-account-matters-wisconsin

Special Durable Power of Attorney for Bank Account Matters - Wisconsin

Special durable power of attorney for bank account mattersstate of wisconsin county of know all me by these presents:that i, of county, wisconsin, being of sound mind and memory, do hereby make, constitute and appoint as my true and lawful agent...

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Special Durable Power of Attorney for Bank Account Matters - Wisconsin
497305268-special-or-limited-power-of-attorney-for-real-estate-purchase-transaction-by-purchaser-iowa

Special or Limited Power of Attorney for Real Estate Purchase Transaction by Purchaser - Iowa

Preparer information: (name of preparer, street address, city, state, zip, phone no.) taxpayer information: (individual/company name, street address, city, state, zip) return document to: (individual/company name, street address, city, state,...

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Special or Limited Power of Attorney for Real Estate Purchase Transaction by Purchaser - Iowa
497307725-special-or-limited-power-of-attorney-for-real-estate-purchase-transaction-by-purchaser-kansas

Special or Limited Power of Attorney for Real Estate Purchase Transaction by Purchaser - Kansas

Prepared by, recording requested by and return to:above this line for official use only name:company:address:city:state:zip:phone:fax:special power of attorney for closing real estate transaction (agent for purchaser)state of kansas county of know...

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Special or Limited Power of Attorney for Real Estate Purchase Transaction by Purchaser - Kansas
497311726-special-or-limited-power-of-attorney-for-real-estate-purchase-transaction-by-purchaser-michigan

Special or Limited Power of Attorney for Real Estate Purchase Transaction by Purchaser - Michigan

Special power of attorney for closing real estate transaction (agent for purchaser)state of michigan county of know all men by these present, that i , whose address is , (city), (state), (zip), desiring to execute a special power of attorney,...

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Special or Limited Power of Attorney for Real Estate Purchase Transaction by Purchaser - Michigan
497312881-special-or-limited-power-of-attorney-for-real-estate-purchase-transaction-by-purchaser-minnesota

Special or Limited Power of Attorney for Real Estate Purchase Transaction by Purchaser - Minnesota

Special power of attorney for closing real estate transaction (agent for purchaser)state of minnesota county of know all men by these present, that i , whose address is (street) (city), (state), (zip), desiring to execute a special power of...

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Special or Limited Power of Attorney for Real Estate Purchase Transaction by Purchaser - Minnesota
497313481-special-or-limited-power-of-attorney-for-real-estate-purchase-transaction-by-purchaser-missouri

Special or Limited Power of Attorney for Real Estate Purchase Transaction by Purchaser - Missouri

Above this line for official use onlyspecial power of attorney for closing real estate transaction (agent for purchaser)state of missouri county of know all men by these present, that i , whose address is , (city), (state), (zip), desiring to...

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Special or Limited Power of Attorney for Real Estate Purchase Transaction by Purchaser - Missouri
497318404-special-or-limited-power-of-attorney-for-real-estate-purchase-transaction-by-purchaser-nebraska

Special or Limited Power of Attorney for Real Estate Purchase Transaction by Purchaser - Nebraska

Above this line for official use onlyprepared by, recording requested by and return to:name:company:address:city:state:zip:phone:fax:special power of attorney for closing real estate transaction (agent for purchaser)state of nebraska county of...

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Special or Limited Power of Attorney for Real Estate Purchase Transaction by Purchaser - Nebraska

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