Power of Attorney Forms - US Northeast - Page 7

497301284-connecticut-appointment-make

connecticut appointment make

Document concerning the appointment of health care representativei understand that, as a competent adult, i have the right to make decisions about my health care. there may come a time when i am unable, due to incapacity, to make my own health...

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connecticut appointment make
497301270-connecticut-attorney-child

connecticut attorney child

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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connecticut attorney child
497301292-connecticut-directive

connecticut directive

Revocation ofdocument concerning withholding or withdrawal of life support systems.i, , declarant, having executed a document concerning withholding or withdrawal of life support systems on the day of , 20 .pursuant to connecticut revised statutes...

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connecticut directive
497301267-connecticut-general

connecticut general

Power of attorney:care and custody of child or childrenknow all men by these presents: that the undersigned, , parent(s) of the child(ren) identified below, residing at hereby make, constitute and appoint (if more than one attorneyinfact is...

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connecticut general
497301262-connecticut-general

connecticut general

Prepared by: after recording, return to: (full name of party) (company, if applicable) (street address) (city, state and zip code) general durable power of attorneythe powers you grant below are effective even if you become disabled or...

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connecticut general
497301279-connecticut-statutory

connecticut statutory

Revocation ofstatutory general power of attorneyi, , declarant, having executed a statutory general power of attorney on the day of , 20 , naming my attorneyinfact/agent, do hereby revoke that power of attorney.this is my written revocation of the...

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connecticut statutory
497301273-ct-affidavit-form

ct affidavit form

Affidavit that designation of astandby guardian is in full force and effect (general statutes of connecticut 45a624c)state of county of i, ,of , being duly sworn, depose and say: that and , of , as principal(s), did on , 20 , appoint me as standby...

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ct affidavit form
497301285-ct-directives

ct directives

Revocation ofhealth care instructions, appointment of a health care agent, appointment of an attorneyinfact for health care decisions, designation of conservator of the person for future incapacity and document of anatomical gifti, , declarant,...

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ct directives
497301275-ct-statutory

ct statutory

Statutory general power of attorney(connecticut general statutes 1352)notice: the powers granted by this document are broad and sweeping. they are defined in connecticut statutory short form power of attorney act, which expressly permits the use...

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ct statutory
497301271-designation-guardian

designation guardian

Designation of a standby guardian* (general statutes of connecticut 45a624 to 45a624g)i, (insert name of principal) do hereby appoint (insert name and address of the standby guardian) as the standby guardian of (insert names of minor children) to...

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designation guardian
497301274-designation-standby

designation standby

Revocation ofdesignation of a standby guardian*(general statutes of connecticut 45a624 to 45a624g)i,, declarant, executed a designation of standby guardian for my child(ren) on the day of, 20 , namingas standby guardian for the child(ren).i do...

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designation standby
497319585-designation-standby-guardian

designation standby guardian

Revocation ofdesignation of standby guardiani, , declarant, having executed a designation of standby guardian on the day of , 20 , naming my attorneyinfact/agent, do hereby revoke that designation pursuant to its provision that it may be revoked...

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designation standby guardian
497310654-durable-power-attorney-maine

durable power attorney maine

Limited durable power of attorney to warning: this is an important legal document. before executing as principal or acting under this instrument as agent, you should consider the following:notice to the principal:as the "principal " you...

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durable power attorney maine
497318868-durable-power-attorney-nh

durable power attorney nh

Revocation of durable power of attorney for health carei, , declarant, executed an advance directive for health care on the day of , 20 , appointing as my attorney in fact/surrogate choose one to make health care decisions for me.new hampshire...

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durable power attorney nh
497324803-health-power-pa

health power pa

Revocation ofmental health power of attorneyi, , declarant, executed a mental health care power of attorney on the day of , 20 .20 pa.c.s. section 5839 provides that a mental health power of attorney may be revoked in whole or in part by written...

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health power pa

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