Free End-of-Life Plan

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End-of-Life Plan

Financing


Financing





Your End-of-Life Plan

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End-of-Life Plan for ________________________

I, ________________________, currently of _______________, VA, being of sound mind, willfully and voluntarily declare that these are my final wishes as to the disposition of my body after my death and any services or memorialization to be held in my name.

This document is not intended to be interpreted as my Last Will and Testament.

    1. Appointee
    2. I request that the executor of my Last Will and Testament, ________________________, currently of _______________, VA, be in charge of planning and executing my last wishes.
    1. Death Announcement
    2. I do not wish to have any announcement published online or in print upon my death.
    1. Organ Donation
    2. I wish to donate my organs upon my death and am a registered organ donor in the state of Virginia.
    1. Final Disposition of My Body
    2. Upon my death, I have no preference as to how my body is dealt with.
    1. Services in My Memory
    2. Upon my death, I do not wish to have any formal services held in my honor.


I recognize that it may not be possible for my appointee to fulfill all of my wishes and request that ________________________ act to follow the spirit of these wishes as well as they can and within the limits of any applicable law.


SIGNATURE

_________________________

_________________________

________________________

Date

WITNESSES

SIGNED AND DECLARED by ________________________ on the ______ day of ________________, ________ to be the declarant’s End-of-Life Plan expressing their own wishes as to the disposition of their body and any services to be held in their name. We declare that ________________________ is personally known to us, that they signed this End-of-Life Plan in our presence, and that they appeared to be of sound mind and not acting under duress, fraud, or undue influence.

_________________________

_________________________

Witness #1 Signature

Witness #2 Signature

_________________________

_________________________

Witness #1 Name (please print)

Witness #2 Name (please print)

_________________________

_________________________

Date

Date

APPOINTEE ACKNOWLEDGMENT

I hereby accept appointment as the appointee for the control and execution of the declarant's final wishes as stated in the preceding End-of-Life Plan.

_________________________
Appointee Signature
_________________________
Appointee Name (please print)
_________________________
Date


NOTARY ACKNOWLEDGMENT

STATE OF VIRGINIA

COUNTY OF _______________

I ____________________, a Notary Public in and for said County and State, hereby certify that ________________________ , whose name is signed to the foregoing instrument and who is known to me (or satisfactorily proven), acknowledged before me on this day that, being informed of the contents of the End-of-Life Plan, he/she executed the same voluntarily on the day the same bears date.

Given under my hand this ____ day of ____________, _____.

____________________
Notary Public

My commission expires:_______________



Related Documents:

  • Last Will and Testament: Specify how your assets and property will be distributed after your death.
  • Power of Attorney: Appoint someone to make financial, legal, and business decisions for you if you become incapacitated or cannot do so on your own.
  • Living Will: Specify your health care preferences and appoint someone to make decisions for you if you are incapacitated.
  • Personal Care Profile: Summarize your cultural beliefs, social interests, or other personal information that caregivers can use to improve your quality of life if you become ill or incapacitated.
  • Just-In-Case Instructions: Write out the details of your personal, legal, and financial documents and where to find them for your executor.
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