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200204208
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Last modified
10/14/2011 8:49:56 PM
Creation date
10/22/2005 6:56:34 PM
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DEEDS
Inst Number
200204208
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240204208 <br />and to have free access to any safe deposit box in my name for the purpose of adding or retrieving <br />property therefrom. <br />6. To Arrange for Health Care. <br />To arrange and contract for my personal health care needs, including but not limited to <br />hospital and nursing home care and medical services from physicians, dentists and other health care <br />providers; to have access to my medical records and all other information related to my medical care; <br />and to consent to all reasonable health care services or refuse health care services. If at any time I <br />should have an incurable injury, disease or illness certified to be a terminal condition by two (2) <br />physicians who have personally examined me, one of whom shall be my attending physician, and <br />the physicians have determined that my death will occur whether or not artificial life - sustaining <br />procedures are utilized, and where the application of artificial life- sustaining procedures would serve <br />only to artificially prolong the dying process, I authorize and direct my attorney -in -fact to withhold <br />or withdraw such procedures, and permit me to die naturally with only the administration of <br />medication or the performance of any medical procedures deemed necessary to provide me with <br />comfort, care or to alleviate pain. I do want artificial nutrition or hydration withheld or withdrawn <br />under the authority granted in this paragraph. <br />If two physicians, one of whom is my attending physician, shall certify that I am in a <br />persistent vegetative state and have been in such state for a sufficient period of time that they have <br />determined within a reasonable degree of medical certainty that I will not regain significant cognitive <br />function, I authorize and direct my attorney -in -fact to withhold or withdraw all artificial life - <br />sustaining procedures. I do want artificially- administered hydration or nutrition withheld or <br />withdrawn under the authority of this paragraph. <br />In the absence of my ability to give directions regarding the use of such life- sustaining <br />procedures, it is my intention that this declaration shall be honored by my family, my attorney -in -fact <br />or guardian, if any, and my physician as the final expression of my legal right to refuse medical or <br />surgical treatment and to accept the consequences from such refusal. <br />7. To Execute Instruments. <br />For all or any of the purposes herein stated to enter into and sign, acknowledge and deliver <br />any contract, deed or other instrument and to draw, accept, make, endorse, discount or otherwise deal <br />with any checks, promissary notes, or other negotiable or non - negotiable instruments. <br />8. To Deal With Taxes. <br />To prepare, execute and file all tax returns required to be made by me, to pay the taxes due, <br />to collect any refunds, to sign waivers extending the period for the assessment of such taxes or <br />deficiencies, to sign consents to the immediate assessment of deficiencies and acceptances of <br />proposed overassessments, to execute closing agreements, to engage and appoint attorneys or others <br />to represent me in connection with any matters arising before any federal, state or local taxing <br />Page 2 initialA� <br />S' w a r , <br />
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