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570.322.2077 | Williamsport
814.237.4100 | State College
570.746.3844 | Wyalusing
570.265.1800 | Wysox
814.900.7613 | Altoona
570.266.7034 | Wilkes-Barre
570.546.3104 | Muncy

Get Your Free Living Will!

We’ve made it as easy as possible to complete and record this important part of planning for your second half of life. Use the form below to enter your information and you’ll receive your documents via email complete with instructions on how to properly sign the documents.

Please complete all required fields below to create your Living Will. Required fields have an asterisk (*) next to them. NOTE: If you are married, each spouse will need to complete their own form to generate their own Living Will. Some fields below are optional and are noted, and are not required to complete this form.

Please format (XXX) XXX-XXXX
Successor Agent(s)

Primary Successor Agent

 

Second Successor Agent

Third Successor Agent

 

Fourth Successor Agent

By submitting your information you are acknowledging the following: (i) use of this form is not a substitute for legal advice; (ii) it does not create an attorney-client relationship between you and Steinbacher, Goodall & Yurchak or any of its lawyers; (iii) you are responsible for the proper execution of your Living Will in accordance with Pennsylvania law; and (iv) you consent to being contacted by Steinbacher, Goodall & Yurchak including but not limited to delivery of your Living Will

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