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<p class="MsoNormal"><span style="font-size:12.0pt">I do not have a notary on these, but notarize the Powers of Attorney (health care and general).
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt">Here is my declaration language:<o:p></o:p></span></p>
<p class="MsoNormal" style="text-align:justify;page-break-after:avoid"><span style="font-size:12.0pt;font-family:"Garamond",serif">Each of the undersigned declares under penalty of perjury under the laws of the State of Washington on this ________ day of
</span><span style="font-size:12.0pt;font-family:"Garamond",serif">April, 2022</span><span style="font-size:12.0pt;font-family:"Garamond",serif">, at
</span><span style="font-size:12.0pt;font-family:"Garamond",serif;color:black">Seattle</span><span style="font-size:12.0pt;font-family:"Garamond",serif">, Washington, that the following is true and correct:
</span><span style="font-size:12.0pt;font-family:"Garamond",serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="text-align:justify;page-break-after:avoid"><span style="font-size:12.0pt;font-family:"Garamond",serif"><o:p> </o:p></span></p>
<ol style="margin-top:0in" start="1" type="1">
<li class="MsoNormal" style="margin-left:-.25in;text-align:justify;page-break-after:avoid;mso-list:l0 level1 lfo1">
<span style="font-size:12.0pt;font-family:"Garamond",serif">The Declarer has been personally known to me and I believe
</span><span style="font-size:12.0pt;font-family:"Garamond",serif;color:black">her</span><span style="font-size:12.0pt;font-family:"Garamond",serif"> to be capable of making health care decisions;<o:p></o:p></span></li><li class="MsoNormal" style="margin-left:-.25in;text-align:justify;page-break-after:avoid;mso-list:l0 level1 lfo1">
<span style="font-size:12.0pt;font-family:"Garamond",serif">I am not <o:p></o:p></span></li></ol>
<p class="MsoNormal" style="text-align:justify;page-break-after:avoid"><span style="font-size:12.0pt;font-family:"Garamond",serif">            (a) related to the Declarer by blood, marriage, or adoption;<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.75in;text-align:justify;text-indent:-.25in;page-break-after:avoid">
<span style="font-size:12.0pt;font-family:"Garamond",serif">(b) entitled to any portion of Declarer’s estate upon Declarer’s death under any will or codicil of Declarer or by operation of law;<o:p></o:p></span></p>
<p class="MsoNormal" style="text-align:justify;page-break-after:avoid"><span style="font-size:12.0pt;font-family:"Garamond",serif">            (c) Declarer’s attending physician;<o:p></o:p></span></p>
<p class="MsoNormal" style="text-align:justify;page-break-after:avoid"><span style="font-size:12.0pt;font-family:"Garamond",serif">            (d) an employee of the attending physician or health facility in which Declarer is a patient; or<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.75in;text-align:justify;text-indent:-.25in;page-break-after:avoid">
<span style="font-size:12.0pt;font-family:"Garamond",serif">(e) any person who has a claim against any portion of the estate of Declarer upon Declarer’s death, and;<o:p></o:p></span></p>
<ol style="margin-top:0in" start="3" type="1">
<li class="MsoNormal" style="margin-left:-.25in;text-align:justify;page-break-after:avoid;mso-list:l0 level1 lfo1">
<span style="font-size:12.0pt;font-family:"Garamond",serif">I believe that the Declarer signed the foregoing Health Care Directive willfully and voluntarily.<o:p></o:p></span></li></ol>
<p class="MsoNormal" style="text-align:justify;page-break-after:avoid"><span style="font-size:12.0pt;font-family:"Garamond",serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-align:justify;page-break-after:avoid"><span style="font-size:12.0pt;font-family:"Garamond",serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-align:justify;page-break-after:avoid"><span style="font-size:12.0pt;font-family:"Garamond",serif">Witness: __________________________________________________________<o:p></o:p></span></p>
<p class="MsoNormal" style="text-align:justify;page-break-after:avoid"><span style="font-size:12.0pt;font-family:"Garamond",serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-align:justify;page-break-after:avoid"><span style="font-size:12.0pt;font-family:"Garamond",serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-size:12.0pt;font-family:"Garamond",serif">Witness: __________________________________________________________<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt">Heather<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt"><o:p> </o:p></span></p>
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<p class="MsoNormal"><span style="font-size:16.0pt;font-family:"Vladimir Script";color:#1F497D">Heather S. de Vrieze</span><b><span style="font-size:16.0pt;color:#1F497D"><br>
</span></b><i><span style="font-family:"Garamond",serif;color:#1F497D">Attorney-at-Law<o:p></o:p></span></i></p>
<p class="MsoNormal"><i><span style="font-family:"Garamond",serif;color:#1F497D"><img width="189" height="105" style="width:1.9666in;height:1.0916in" id="Picture_x0020_3" src="cid:image002.jpg@01D854BA.F0C39770"></span></i><i><span style="font-size:12.0pt;font-family:"Garamond",serif;color:#1F497D"><o:p></o:p></span></i></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:Nyala;color:#44524E">3909 California Avenue SW<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:Nyala;color:#44524E">Seattle, WA 98116-3705                         
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:Nyala;color:#44524E">(206)938-5500
<o:p></o:p></span></p>
<p class="MsoNormal"><a href="mailto:heatherd@westseattlelaw.com"><span style="font-size:10.0pt;font-family:Nyala;color:#44524E">heatherd@westseattlelaw.com</span></a><span style="font-size:10.0pt;font-family:Nyala;color:#44524E">
<o:p></o:p></span></p>
<p class="MsoNormal"><a href="http://www.westseattlelaw.com/"><span style="font-size:10.0pt;font-family:Nyala;color:#44524E">www.westseattlelaw.com</span></a><span style="font-size:10.0pt;font-family:Nyala;color:#44524E">
<o:p></o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#002E8A">Click here to connect with de Vrieze | Carney on Facebook:
</span></b><b><span style="color:#1F497D">  </span></b><a href="https://www.facebook.com/DeVriezeCarney"><b><span style="color:blue;text-decoration:none"><img border="0" width="72" height="21" style="width:.75in;height:.2166in" id="Picture_x0020_2" src="cid:image003.png@01D854BA.F0C39770" alt="FB Logo"></span></b></a><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:8.0pt;color:#A6A6A6"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:8.0pt;color:#A6A6A6">CONFIDENTIAL & PRIVILEGED. This e-mail message may contain legally privileged and/or confidential information.  If you have received this e-mail in error, please notify the sender immediately
 and delete all copies of this e-mail message and any attachment.</span><span style="font-size:16.0pt;font-family:"Cambria",serif;color:blue"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:12.0pt"><o:p> </o:p></span></p>
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<p class="MsoNormal"><b>From:</b> wsbapt-bounces@lists.wsbarppt.com <wsbapt-bounces@lists.wsbarppt.com>
<b>On Behalf Of </b>Inge Fordham<br>
<b>Sent:</b> Wednesday, April 20, 2022 10:54 AM<br>
<b>To:</b> WSBA Probate & Trust Listserv <WSBAPT@lists.wsbarppt.com><br>
<b>Subject:</b> [WSBAPT] Health Care Directive - Witnesses<o:p></o:p></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Colleagues,<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">In reviewing my form for a Living Will / Health Care Directive, I’m curious as to the language my colleagues are using for witness attestations.  Would anyone be willing to share their language?  Do you have them notarized (as you would
 with a last will and testament) even though it’s not legally required?  Just to give a belt and suspenders, so to speak?`<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Thank you,<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
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<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:10.0pt;font-family:Times;color:black"><img border="0" width="96" height="95" style="width:1.0in;height:.9916in" id="Picture_x0020_1" src="cid:image004.png@01D854BA.F0C39770" alt="uc%3fexport=download&id=1W3rEcChy0_E0cCfV5up02mkhwnL6eWIs&revid=0B4P5JoIHdbFaR29EbHlRWHFseFV5STZpSUVGeUNPWldkVDFVPQ"></span><span style="font-size:12.0pt"><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin-bottom:3.0pt"><b><span style="font-size:13.0pt;font-family:"Cambria",serif;color:#203864">Inge A. Fordham | Attorney</span></b><span style="font-size:12.0pt"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:3.0pt"><span style="font-size:12.0pt;font-family:"Cambria",serif;color:black">Fordham Law, PLLC</span><span style="font-size:12.0pt"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:3.0pt"><span style="font-size:12.0pt;font-family:"Cambria",serif;color:black">3218 Sixth Avenue | Tacoma, WA 98406</span><span style="font-size:12.0pt"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:3.0pt"><span style="font-size:12.0pt;font-family:"Cambria",serif;color:black">Office: (253) 348-2657 | Mobile: (206) 778-3131</span><span style="font-size:12.0pt"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:3.0pt"><span style="font-size:12.0pt;font-family:"Cambria",serif;color:black"><a href="http://www.fordhamlegal.com">www.fordhamlegal.com</a></span><span style="font-size:12.0pt"><o:p></o:p></span></p>
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<p class="MsoNormal"><b><span style="font-size:8.0pt;font-family:"Cambria",serif;color:#7D888E">Confidential Communication:</span></b><span style="font-size:8.0pt;font-family:"Cambria",serif;color:#7D888E"> This email is sent to a recipient on behalf of an
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 than to the intended recipient.  If you are not the named addressee, you are not authorized to read, print, retain, copy or otherwise disseminate this message or any part of it.  If you have received this email in error, please notify the sender immediately
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