TABLE OF CONTENTS
AGREEMENTS RELATING TO MEDICAL TREATMENT/CARE
1. Authorization to Use ad Disclose Health Information (General)
2. Authorization to Use and Disclose Health Information (Dental Service)
3. Authorization to Use and Disclose Health Information (Behavioral and Mental Health Issues)
4. Authorization to Use and Disclose Health Information (Substance Abuse)
5. Authorization to Use and Disclose Health Information (Sexually Transmitted Diseases)
6. Authorization to Use and Disclose Health Information (HIV/AIDS)
7. Revocation of Authorization(s) to Use and Disclose Health Information
8. Agreement Giving Authorization for Visitation and Access to Hospital/Medical Facility
9. Revocation of Agreement Giving Authorization for Visitation and Access to Hospital/Medical Facility
10. Selection and Directive Regarding Assisted Living, Nursing Home and other Care Facilities - Temporary or Long Term
11. Revocation of Selection and Directive Regarding Assisted Living, Nursing Home and other Care Facilities
12. Authorization to Direct and Approve Medical Treatment/Care (Short Form)
13. Revocation of Authorization to Direct and Approve Medical Treatment/Care (Short Form)
14. Living Will Directive
15 Revocation of Living Will Directive
16. Health Care Power of Attorney
17. Revocation of Health Care Power of Attorney
AGREEMENTS RELATING TO THE HOUSEHOLD
18. Agreement Regarding Sharing of Household Expenses - Even Split
19. Revocation of Agreement Regarding Sharing of Household Expense - Even Split
20. Agreement Regarding Sharing of Household Expenses - Itemized
21. Revocation of Agreement Regarding Sharing of Household Expenses - Itemized
22. Agreement Regarding Giving Authorization to Access Utility and Other Records
23. Revocation of Agreement Regarding Giving Authorization to Access Utility ad Other Records
24. Agreement Regarding Split of Household Duties
25. Revocation of Agreement Regarding Split of Household Duties
SMALL BUSINESS AND WORK MATTERS
26. Authorization to Enter Place of Business
27. Revocation of Authorization to Enter Place of Business
28. Work/Business Notification List
29. List of Business Bank Accounts
30. List of Business Loans, Credit Cards and Other Debts
31. Authorization to Access Business Bank Account(s) and Loan(s)
32. Revocation of Authorization to Access Business Bank Account(s) and Loan(s)
33. Authorization to Access Business Computer(s), Phone(s), Message Centers, Passwords, Access Codes, Etc.
34. Revocation of Authorization to Access Business Computer(s), Phone(s), Message Centers, Passwords, Access Codes, Etc.
35. Authorization and Directive for Business Account(s) and Bookkeeper(s) to Share Financial Information
36. Revocation of Authorization and Directive for Business Account(s) and Bookkeeper(s) to Share Financial Information
37. Authorization and Directive to Business Attorney(s) to Share Legal Information
38. Revocation of Authorization and Directive to Business Attorney(s) to Share Legal Information
39. Authorization and Directive for State Department of Revenue and Other Agencies to Share Information
40. Authorization and Directive for U. S. Internal Revenue Service to Share Information
41. Revocation of Authorization and Directive for U. S. Internal Revenue Service to Share Information
PRACTICAL MATTERS IN THE EVENT OF DEATH
42. Special Bequests of Personal Items Upon Death
43. Special Instructions in the Event of Death
44. People and Organizations to be Notified in the Event of Death
45. Funeral/Burial Instructions
46. Obituary
AGREEMENTS RELATING TO OWNERSHIP OF ASSETS
47. Agreement Regarding Inventory of Possessions
48. Revocation of Agreement Regarding Inventory of Possessions
49. Agreement Giving Authorization to Use Automobile, Boat, or Other Vehicle
50. Revocation of Agreement Giving Authorization to Use Automobile, Boat or Other Vehicle
51. Agreement Regarding Lease of Vehicle
52. Revocation of Agreement Regarding Lease of Vehicle
53. Agreement Regarding Ownership of Real Estate
54. Revocation of Agreement Regarding Ownership of Real Estate
55. Agreement Regarding Ownership of Rental Property
56. Revocation of Agreement Regarding Ownership of Rental Property
57. Agreement Regarding Ownership of Personal Property
58. Revocation of Agreement Regarding Ownership of Personal Property
59. Agreement Regarding Ownership of Jewelry
60. Revocation of Agreement Regarding Ownership of Jewelry
AGREEMENTS RELATING TO GIFTS AND LOANS
61. Promissory Note
62. Security Agreement
63. Agreement Regarding Payment of Debt
64. Revocation of Agreement Regarding Payment of Debt
AGREEMENTS RELATING TO THE HOME
65. Agreement for Services in Lieu of Rent Payments
66. Revocation of Agreement for Services in Lieu of Rent Payments
67. Agreement for Services in Lieu of Rent Payments and Other Residential Expenses
68. Revocation of Agreement for Services in Lieu of Rent Payments and Other Residential Expenses
69. Agreement to Sell Jointly Owned Real Property Under Certain Circumstances
70. Revocation of Agreement to Sell Jointly Owned Real Property Under Certain Circumstances
71. Agreement Regarding Occupancy Rights of Party (Not Named on Lease)
72. Revocation of Agreement Regarding Occupancy Rights of Party (Not Named on Lease)
73. Agreement Regarding Occupancy Rights of Party (Non-Owner)
74. Revocation of Agreement Regarding Occupancy Rights of Party (Non-Owner)
75. Agreement Regarding Party's Right to Accrue Equity in Real Estate
76. Revocation of Agreement Regarding Party's Right to Accrue Equity in Real Estate
77. Agreement Regarding Party's Non-Accrual of Equity in Real Estate Survivorship
78. Revocation of Agreement Regarding Party's Non-Accrual of Equity in Real Estate Survivorship
79. Quit Claim Deed
80. General Warranty Deed Conveying Interest in Real Estate - With Survivorship
81. General Warranty Deed Conveying Interest in Real Estate - Without Survivorship
82. Special Warranty Deed - Monetary Consideration
83. Special Warranty Deed - Nominal Consideration Mortgage
84. Mortgage
EMERGENCY INSTRUCTIONS
85. Personal Emergency Instructions
86. Household Information and Instructions
FINANCIAL MATTERS
87. List of All Loans, Mortgages, and other Non-Credit Card Loans
88. Authorization to Access Loan Information and Accounts
89. Revocation of Authorization to Access Loan Information and Accounts
90. List of All Credit Card Accounts
91. Authorization to Access Credit Card Accounts
92. Revocation of Authorization to Access Credit Card Accounts
93. List of All Bank and Investment Accounts
94. Authorization for Access to Bank Accounts
95. Revocation of Authorization for Access to Bank Accounts
96. Authorization to Access Stock/Securities/Investment Accounts
97. Revocation of Authorization to Access Stock/Securities/Investment Accounts
98. Computer, E-Mail & Misc. Account Passwords
99. Directive for U.S. and State Department of Revenue to Share Tax Related Information (for Married Couples Who File Separate Returns and Unmarried Individuals)
100. Revocation for Directive for U. S. and State Department of Revenue to Share Tax Related Information
101. General Cohabitation Agreement
102. Revocation of General Cohabitation Agreement
103. Agreement Regarding Financial Support of Other While Living Together
104.Modification of Agreement Regarding Financial Support of Other While Living Together
105. Revocation of Modification of Agreement Regarding Financial Support of Other While Living Together
106. Agreement Waiving All Rights to Financial Support While Living Together
107. Agreement Regarding Financial Support of Other Upon Separation - Lump Sum Payment
108. Modification of Agreement Regarding Financial Support of Other Upon Separation - Lump Sum Payment
109. Revocation of Modification of Agreement Regarding Financial Support of Other Upon Separation - Lump Sum Payment
110. Agreement Regarding Financial Support of Other Upon Separation - Periodic Payments
111. Modification of Agreement Regarding Financial Support of Other Upon Separation - Periodic Payments
112. Revocation of Agreement Regarding Financial Support of Other Upon Separation - Periodic Payments
AGREEMENTS RELATING TO ESTATE PLANNING/TRUSTS
114. Last Will and Testament
115. Last Will and Testament (With Devise of Home conditioned o Partner's Right to Continue Residing in Home
116. Agreement to Designate Beneficiary in a Will
117. Revocation of Agreement to Designate Beneficiary in a Will
118. Revocable Trust Agreement
119. Irrevocable Trust Agreement
120. Agreement to Designate Beneficiary in Trust
121. Revocation of Agreement to Designate Beneficiary in Trust
122. Agreement to Designate Party as Beneficiary in an Individual Retirement Account
123. Revocation of Agreement to Designate Other Party as Beneficiary in an Individual Retirement Account
AGREEMENTS RELATING TO MINOR CHILDREN
124. Co-Parenting Agreement
125. Revocation of Co-Parenting Agreement
126. Agreement Authorizing Travel with a Minor Within the U.S.
127. Revocation of Agreement Authorizing Travel with a Minor Within the U.S.
128. Agreement Authorizing Travel With a Minor Outside the U.S.
129. Revocation of Agreement Authorizing Travel with a Minor Outside the U.S.
130. Agreement Giving Authority to Direct and Approve Medical Treatment/Care of a Minor
131. Revocation of Agreement Giving Authority to Direct and Approve Medical Treatment/Care of a Minor
132. Agreement Giving Authority to Obtain Medical, Dental, Psychological, Psychiatric or Educational Records of a Minor
133. Revocation of Agreement Giving Authority to Obtain Medical, Dental, Psychological, Psychiatric or Educational Records of a Minor
AGREEMENTS RELATING TO PETS/ANIMALS
134. Pet Care Instructions and Authorization for Temporary Care in an Absence, Emergency or Crisis
135. Agreement Regarding Ownership of Pets
136. Agreement Regarding Ownership of Pets Upon Death or When No Longer Living Together
137. Agreement Giving Authorization to Direct and Approve Pet Medical Treatment/Care
138. Agreement Regarding Liability for Any Claims Arising From or Relating to Pets
139. Revocation of Agreements Relating to Pets
POWER OF ATTORNEY
140. General Durable Power of Attorney
141. Special Power of Attorney
142. Revocation of Power of Attorney
AUTHORIZATION TO SHARE INSURANCE/BENEFITS INFORMATION
143. Agreement Regarding Access to Private Insurance Information
144. Revocation Regarding Access to Private Insurance Information
145. Agreement Regarding Access to Government Benefits Information
146. Revocation of Agreement Regarding Access to Government
Benefits Information
MISCELLANEOUS AGREEMENTS UPON SEPARATION AND/OR DEATH
147. Agreement Regarding Division of Assets Upon Separation
148. Revocation of Agreement Regarding Division of Assets Upon Separation
149. Agreement Regarding Division of Debts Upon Separation and/or Death
150. Revocation of Agreement Regarding Division of Debts Upon Separation and/or Death
ENFORCEMENT OF ABOVE AGREEMENTS
151. Agreement Regarding Enforcements of Agreement(s) Entered Into by Parties
152. Revocation of Agreement Regarding Enforcement of Agreement(s) Entered Into by Parties
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