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Revocation Of Anatomical Gift Donation (Maryland) POA-MD 101 - Legal Forms

Revocation Of Anatomical Gift Donation (Maryland) Form. This is a Legal Forms form and can be used in Revocations Power Of Attorney .
 Fillable word Last Modified 7/16/2009
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Maryland Revocation of Anatomical Gift Donation (Maryland Code Estates and Trusts § 4-507. Revocation) I, , Declarant, having made an anatomical gift by virtue of that document of gift dated the day of , 20 , do hereby revoke such gift pursuant to the Maryland Code Estates and Trusts §4-507 as follows: Maryland Code Estates and Trusts §4-507 provides that a gift may be revoked by the following ways: (a) Any document of gift which has been delivered to the donee may be revoked by: (1) The execution and delivery to the donee or his agent of a revocation in writing, signed by the donor; (2) An oral statement of revocation witnessed by two persons, and communicated to the donee or his agent; (3) A statement during a terminal illness addressed to the attending physician and communicated to the donee, or his agent; or (4) A card or other writing signed by the donor and carried on his person or in his effects, revoking the gift. This is my written revocation of my abovementioned anatomical gift and is provided to all persons to whom I have provided a copy of my document of anatomical gift. DATED this the day of , 20 . Signature of Declarant: Printed Name of Declarant: Address of Declarant: American LegalNet, Inc. © www.FormsWorkFlow.com
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