Confidential Page
Last Will and Testament
I
John Joseph Flanagan 3rd, residing
in the city of Trenton, 08618 at 333 W. State Street,Apt.8-S,County of
Mercer,
State of New Jersey, being of sound mind and memory and agreeable to
reason and
justice, do hereby make, publish and declare this to be my last will
and
testament, revoking all prior wills and codicils.
FIRST:
- The directions and expenses of my funeral
shall be included in this document on a separate page, (see
attachment).
- The administration of my estate and also
all the inheritances, estate or succession taxes, including interest
and penalties, payable by reason of my death shall be paid out of and
charged generally against the principal of my residuary estate without
apportionment or proration by my Executor,
___________________________________________________.
Second:
Specific Bequest:
I,
______________________________bequeath to ______________________ if
survived by
me, in appreciation of their love and friendship ______________
______________________________________________________________________________
I,
______________________________bequeath to ______________________ if
survived by
me, in appreciation of their love and friendship ______________
______________________________________________________________________________
I,
______________________________bequeath to ______________________ if
survived by
me, in appreciation of their love and friendship
___________________________________
________________________________________________________________
Confidential
Page 2 1/24/02
I,
______________________________ anticipate that as a part of my
properties and
estates at the time of my death (any remanding personal property) I
hereby bequeath
to___________________________________________________________________.
General
Bequest
Fifth:
After payment of all the factors in item one are met, I bequeath to
_____________________the total amount of property and monies that I may
own at
my time of death.
Demonstrative
Bequest
Sixth:
I
would personally like to leave One Hundred-Dollar for flowers to be
placed on
my parents Grave at the time of my burial.
Administrated
by_________________________.
Residuary
clause
Seventh:
After
the payments of items one through six are followed, I devise the rest,
remainder, and residual to be Bequeath to if _______________survives
me, in
appreciation of their love.
In
witness
wherefore I the said __________________do here unto set my hand and
sealed in the
presence of two witnesses on this day ____________________.
Signature
_______________________________
Confidential
Page
<
Three Witnesses:
We
declare
under penalty of perjury that the foregoing is true and correct, that
on this
day of (month) _____ (year) ___
at (city-state)
__________________________________________________
(Witness’s
Signature)_____________________________________.
We
declare
under penalty of perjury that the foregoing is true and correct, that
on this
day of (month) _____ (year) ___
at (city-state)
__________________________________________________
(Witness’s
Signature)_____________________________________.
We
declare
under penalty of perjury that the foregoing is true and correct, that
on this
day of (month) _____ (year) ___
at (city-state)
__________________________________________________
(Witness’s
Signature)_____________________________________.
Declaration made this ___ day of ______________________, 20___.
I,
John Flanagan, being of sound mind, willfully and voluntarily
make known my desire that my dying not be artificially prolonged under
the
circumstances set forth below, and declare that: If at any time I
should have
an incurable injury, disease or illness certified to be a terminal
condition by
two physicians who have personally examined me, one of whom is my
attending
physician, and the physicians have determined that my death will occur
unless
life-sustaining procedures are used, and if the application of
life-sustaining
procedures would serve only to artificially prolong the dying process,
I direct
that life-sustaining procedures be withheld or withdrawn and that I be
permitted to die naturally and with only the performance of medical
procedures
deemed necessary to provide me with comfort and care. I further direct
that if
at any time I should be in a permanent vegetative state or an
irreversible coma
as certified by two physicians who have personally examined me, one of
whom is
my attending physician, and the physicians have determined that the
application
of life-sustaining procedures, including artificially administered food
and
fluid, will only artificially prolong my life in a permanent vegetative
state
or irreversible coma, I direct that these procedures, including the
administration of food or fluids, be withheld or withdrawn and that I
be
permitted to die naturally with only the administration of medication
to
alleviate pain or the performance of medical procedures necessary to
provide me
with comfort care. In the absence of my ability to give directions
regarding
the use of life-sustaining procedures, it is my intention that this
Declaration
be honored by my family and attending physician as the final expression
of my
legal right to refuse medical or surgical treatment and accept the
consequences
of such refusal. I understand the full import of this Declaration, and
I have
emotional and mental capacity to make this declaration.
___________________________________ Signature of Patient/Principal
___________________________________
City, County and State of Residence ACKNOWLEDGEMENT STATE OF
_______________ )
)ss. County of ________________ ) SUBSCRIBED and SWORN to before me
this ___
day of ______________, 20___ by _________________________________ known
to me
or satisfactorily proven to be the person whose name is subscribed to
this
instrument and acknowledged to me that they executed the same for the
purposes
and considerations therein expressed. ___________________________
Notary Public
My commission expires: Witness ________________________ Witness
________________________;