Georgia Advanced Directive Page 16

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This part
PART FOUR EFFECTIVENESS AND SIGNATURES.
requires your signature and the signatures of two
witnesses. You must complete PART FOUR if you have
filled out any other part of this form. This document
may be signed by you or signed by someone else for
you in your presence and at your express direction.
You may fill out any or all of the first three parts listed above. You must fill
out PART FOUR of this form in order for this form to be effective.
Page 2 of 15

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