Page 30 - Maitland And English Law Firm, PLLC
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Power Of Attorney Over Property:
If you became incapacitated before your death, who would you want to manage your property and other valuables? (Spouse, family member, adviser, etc.)
Your Property:
1st Option (Usually Spouse): ........................................................................................................................................................................................................................................ Second (Optional, Not Necessary):...............................................................................................................................................................................................................................
Spouse Property (If Applicable):
1st Option (Usually Spouse): ........................................................................................................................................................................................................................................ Second (Optional, Not Necessary):...............................................................................................................................................................................................................................
Health Care Power Of Attorney:
If you became incapacitated before your death, who would you want to make decisions about your health care or treatment, including the decision to withhold such services? (Spouse, family member, doctor, etc.)
You:
Health Care Surrogate: ................................................................................................................................................................................................................................................. Alternate Surrogate:......................................................................................................................................................................................................................................................
Spouse (If Applicable):
Health Care Surrogate: ................................................................................................................................................................................................................................................. Alternate Surrogate:......................................................................................................................................................................................................................................................
Living Will/Desire For A Natural Death:
Would you want your life sustained through extraordinary means?  Yes  No
Comments:
Spouse:  Yes  No
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