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Last updated: 11/9/2017
Revocation Of Anatomical Gift Donation (Generic) {POA 600}
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Description
American LegalNet, Inc. 251 www.FormsWorkFlow.com Revocation of Anatomical Gift Donation I, , do hereby revoke the anatomical gift made by me, by virtue of the gift document dated the day of , 20 . This is my written revocation of my anatomical gift. This is in notice 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:
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