State Of Arizona Living Will (End Of Life Care) Page 4
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9the person signing. I am not entitled to any part of his/her estate under a will now existing
or by operation of law. In the event the person acknowledging this Living Will is
physically unable to sign or mark this document, I verify that he/she directly indicated to
me that the Living Will expresses his/her wishes and that he/she intends to adopt the
Living Will at this time.
WITNESS MY HAND AND SEAL this
day of
,20
Notary Public:
My commission expires:
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