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SOUTH CAROLINA HEALTH CARE POWER OF ATTORNEY INFORMATION ABOUT THIS DOCUMENT THIS IS AN IMPORTANT LEGAL DOCUMENT. I am not appointed as Health Care Agent or Successor Health Care Agent by this document. Witness No. 1 Signature Date Print Name Telephone This portion of the document is optional and is not required to create a valid health care power of attorney. STATE OF SOUTH CAROLINA COUNTY OF The foregoing instrument was acknowledged before me by Principal on Notary Public for South Carolina...
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