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This form is a power of attorney for health care. It lets you name another individual as agent to make health-care decisions for you if you become incapable of making your own decisions or if you want someone else to make those decisions for you now even though you are still capable.

It lets you appoint a specific person to make health care decisions for you if you are too sick to make decisions for yourself. This person will be called your Health Care Agent. Your Health Care Agent ? Should be someone who you trust, who knows you well, and is familiar with your values and beliefs.

The requirements and restrictions vary in each state; however, in Mississippi, your document will require notarization. If your agent will have the authority to manage real estate transactions, the Power of Attorney will need to be acknowledged by a notary and recorded or filed with the county.

Ideally, you should sign your full legal name the same way it would appear on other legal documents. If you are unable to sign your document, we suggest you consult with a local attorney about properly executing your Power of Attorney. 3 Mississippi requires that a Notary Public witness the signing of the document.

A power of attorney must be signed by the principal or in the principal's conscious presence by another individual directed by the principal to sign the principal's name on the power of attorney.

You dictate the actions you permit the person to take, and you can limit it to a single transaction or give the person general authority. You can revoke a power of attorney through a written revocation form, which must be given to your agent and to the individuals and businesses the agent deals with on your behalf.