Health Care Power of Attorney vs. Financial Power of Attorney - What's the Difference? - YouTube

Channel: Burton Law LLC

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Welcome back to our Estate Planning 101 Series. I'm attorney Thomas Burton, I'm an estate聽聽
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planning and asset protection attorney here in聽 Wisconsin. Thank you for joining us once again.聽聽
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So today's topic is Healthcare Power聽 of Attorney versus Financial Power of聽聽
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Attorney - what's the difference? So this聽 question comes up a lot in my practice聽聽
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and the terms surrounding these two documents聽 are similar but they serve two distinct purposes聽聽
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and today in Estate Planning 101, we're going聽 to go through the differences between these聽聽
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two documents and what each is used for. So we'll聽 start off here, I've got on the yellow legal pad,聽聽
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the healthcare power of attorney and POA, if聽 you see POA, that's short for power of attorney.聽聽
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A. I got tired of writing it out every time聽 and B. this is a common abbreviation you may聽聽
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see people use, so I'm using it in the video to聽 help it get familiar in your mind. So both the聽聽
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healthcare power of attorney and the financial聽 power of attorney allow you to name an agent聽聽
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and that person is designated to act on聽 your behalf if you're ever unable to act聽聽
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for yourself so in general, we think we use the聽 term incapacitated meaning you're unable to make聽聽
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these decisions on your own and we'll get into聽 the difference a little later but you can name聽聽
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a primary agent and a successor agent, number two,聽 under both documents. You can name more than that聽聽
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even but I, for sure, recommend if you do the聽 document, you name primary and one successor聽聽
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or at the very least, a primary, if you聽 can't come up with the name of a successor聽聽
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but I'll just say commonly for married couples,聽 they often name each other as the primary and then聽聽
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a backup and if you're single, you name whoever聽 you choose a friend, a relative, someone you trust聽聽
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and a backup and each one is a different purpose.聽 So these don't have to be the same person. The聽聽
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person who's good at making health care decisions,聽 may not be the person best at making financial.聽聽
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So keep that in mind and that's why we聽 separate the powers. Now, the first major聽聽
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difference a healthcare power of attorney聽 is effective only if you are incapacitated聽聽
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and if you look at the new Wisconsin power of聽 attorney for health care which went into effect聽聽
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earlier this year, it used to say two聽 physicians must certify your incapacity or聽聽
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a psychologist and a physician. Now they've聽 included nurse practitioner and or a physician,聽聽
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it can be a combination of those two that certify,聽聽
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there's a certification paragraph you should聽 examine carefully but that would trigger聽聽
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the health care agent acting聽 for you. So for health care,聽聽
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constitutionally, as long as you are able to聽 communicate and you have the mental capacity,聽聽
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you are in charge of your own health care聽 decision. So even if you execute the document聽聽
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and let's say in the document, you say you don't聽 want feeding tubes used or you want them removed.聽聽
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If you're alert and laying there on the bed,聽 your agent cannot have the feeding tubes removed.聽聽
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Okay? Because you have capacity. It only kicks聽 in when you're incapacitated. Now the financial聽聽
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power of attorney, let me turn this here, can be聽 springing or immediately effective. So sometimes聽聽
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you hear this term springing and essentially,聽 that's what's happening with the healthcare power聽聽
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of attorney, it's springing meaning it springs聽 into life upon a certain event happening and聽聽
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for the healthcare power of attorney, that event聽 happening is those two doctors or the doctor and聽聽
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the nurse practitioner, signing a statement聽 that you're incapacitated and unable to act聽聽
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on your own behalf. So for the financial power聽 of attorney, we can include a springing provision聽聽
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but it's less common to do it here but it's up聽 to you but some, again, for a married couple,聽聽
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often they're comfortable having it be immediately聽 effective for the spouse and it could be springing聽聽
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for the second but a lot of times you want someone聽 under the financial, to make, pay bills and things聽聽
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like that and so in that sense, sometimes we聽 don't make it spring but be aware, the health care聽聽
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essentially, is always springing only upon your聽 incapacity to make your healthcare decision.聽聽
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Okay, so next, we're going to move to what they聽 each govern and I got into this a little bit but聽聽
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the healthcare POA, governs healthcare聽 decisions only while incapacitate,聽聽
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again, if you're alert, able to communicate,聽 you govern your own healthcare decisions.聽聽
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So for thinking about this, it's easiest to think聽 about being in a coma, right, because you're alive聽聽
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but unable to communicate. That's a classic case聽 the healthcare document would come into place. The聽聽
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financial power of attorney is authority to manage聽 assets. So think of financial assets and some,聽聽
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we call it financial power of attorney, sometimes聽 people just call it a general power of attorney聽聽
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or a durable power of attorney but the key is聽 that it doesn't cover health care decisions.聽聽
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It's about managing assets such as real聽 estate, stocks, bonds, annuities, pay bills,聽聽
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pay taxes, sell property and if you use the聽 statutory form, there's boxes you can check聽聽
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next to each of these powers. Now to be聽 effective, I often recommend you want to聽聽
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give your agent broader powers depending on your聽 situation and what you're doing the planning for聽聽
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but discuss that with your attorney when聽 deciding. If you don't really trust your agent,聽聽
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you're going to want to limit those powers and聽 then, I would say, I would consider, picking聽聽
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someone else's agent or an independent third party聽 such as a trust company or a fiduciary to act,聽聽
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okay, so, the healthcare power of attorney聽 then covers things like feeding tubes,聽聽
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do you want feeding tubes used and there's聽 language in there about what conditions. Also,聽聽
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end of life care such as would your agent have聽 the authority to admit you to a nursing home?聽聽
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Then there's a section on special provisions,聽 limitations, desires, you can write something in,聽聽
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a special request like for example,聽 I would like to be in a room near聽聽
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a window or sunlight or things that are important聽 to you, other things related to your health care聽聽
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and then organ donation, also in the healthcare聽 power of attorney, at the end, you can make your聽聽
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choices regarding organ donation. So, if you have聽 this on your driver's license, I suggest you make聽聽
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it consistent with that because if you got in聽 the situation, they would look at that document.聽聽
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So overview, the healthcare governs all these聽 healthcare decisions and financial governs聽聽
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things related to your property, financial聽 assets and they don't cross. So the health care聽聽
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agent can't make decisions about this and the聽 financial agent can't make decisions about this.聽聽
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The two distinct things by law. So here's how聽 it works, if you regain capacity, the agent's聽聽
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authority under your healthcare power of attorney聽 ends, so, let's say, you wake up from the coma,聽聽
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you have capacity, so you say, "wait a聽 minute doctor, I'm alert, I'm functioning,聽聽
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I'm making these decisions, not my agent." The聽 financial power of attorney is often that were聽聽
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durable which means it survives your incapacity.聽 So in most instances, you want this, you want聽聽
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a durable power of attorney because if you are聽 incapacitated, if you're in the coma over here,聽聽
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you want someone who has authority to pay your聽 bills, file your taxes, while you're in the coma.聽聽
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If it isn't durable, it would mean, it聽 wouldn't survive your incapacity and that聽聽
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often defeats the purpose of聽 creating it. So just be aware of that聽聽
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but again, the healthcare power of attorney聽 constitutionally, if you regain capacity,聽聽
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mental capacity to act, you have the authority.聽 Then we go down here, what happens if you don't聽聽
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have one to default, if no healthcare power of聽 attorney then and you have this medical condition聽聽
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and know you haven't put a living will together,聽 with wishes, separately, you have no one to act,聽聽
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your friends or relatives are going to have to聽 go to court and get a court-ordered guardianship聽聽
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of the person, okay, and this is quite an聽 undertaking because the courts are very聽聽
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reluctant to take away rights from someone,聽 constitutionally, okay? So it takes time,聽聽
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plan on weeks or months and expense. I would聽 budget several thousand in attorney's fees聽聽
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to help you get the guardianship聽 and go through the court process.聽聽
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Probably three thousand minimum, up to聽 contested guardianship can go, you know,聽聽
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ten thousand or more, it depends but just be aware聽 this takes time and the involvement of the court聽聽
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but the law says, if you have a validly executed聽 healthcare power of attorney, the reason you're聽聽
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doing that is to avoid this but I see this happen聽 a lot when, when people don't have one in place.聽聽
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The same with the financial power of attorney,聽 if no financial power of attorney or a trust,聽聽
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let's say, you have all your assets in the聽 trust, then your trustee can act for you聽聽
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if you're incapacitated and this is a聽 great way to do it but if you have no,聽聽
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okay let me switch it over here, if you have聽 no financial power of attorney or trust,聽聽
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court ordered guardianship of the聽 estate, so again, it's two different聽聽
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processes, a guardianship of the person and a聽 guardianship of the estate and sometimes the聽聽
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court will award both and sometimes just聽 one because again, they're very reluctant聽聽
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to get involved in your affairs and give away聽 rights which you traditionally hold. You can do聽聽
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both guardianships at once but sometimes you won't聽 get awarded both, it depends on the facts here.聽聽
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A great reason to have both documents is聽 to avoid the need for those court-ordered聽聽
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guardianships and this often occurs in聽 old age but it can occur at any age.聽聽
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Once you're age 18, if you're in a coma and you聽 haven't filled out a healthcare power of attorney,聽聽
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there's no one to act on your behalf because聽 you're an adult in the eyes of the law,聽聽
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even if you think your parents can act for you,聽 legally they can't. So my recommendation is,聽聽
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if you have anyone over 18, have them fill聽 out that healthcare power of attorney form.聽聽
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So under the healthcare power of attorney,聽 finally let's talk about what the agents聽聽
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are supposed to do. They act according聽 to your wishes on the subject,聽聽
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so if during life you talk to them about your聽 wishes about things, they're supposed to remember,聽聽
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okay, "mom talk to me about this and I'm acting聽 according to her wishes on the subject", so,聽聽
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you can't as the agent, substitute your聽 own thoughts about feeding tubes for mom.聽聽
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You're supposed to follow her wishes,聽 in this case, if mom is the principal.聽聽
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Then if they haven't expressed their wishes in聽 the document on a subject or to you in person,聽聽
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you know how there's a lot of gray area because聽 a big reason to have a health care agent is,聽聽
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I always give the example, if you're in the聽 coma and the doctor needs to decide we could聽聽
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do this surgery or we could do this thing,聽 someone has to be able to make that decision,聽聽
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weigh the odds and think about it, right? So for聽 all the rest, the gray area, you have to do what聽聽
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you believe is in their your but in the principles聽 best interest. So that's the standard, you apply聽聽
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if it's not something they've expressed a wish to聽 you, while they had capacity or in the document聽聽
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and under the financial power of attorney, the聽 agent has a duty to act in your best interest. So聽聽
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same as here, best interest trust meaning聽 they're fiduciary, they aren't supposed聽聽
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to substitute their judgment for your judgment,聽 instead under both, the agent it is a fiduciary聽聽
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acting in your best interest regarding either聽 your health care or your financial affairs.
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So those are the key differences between聽 the healthcare power of attorney and the聽聽
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financial power of attorney and I see a lot of聽 confusion about this so, if you were to ask me,聽聽
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what's one document I should have, in terms聽 of my estate planning and if I could only pick聽聽
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one, what document would I tell you? I聽 would say a healthcare power of attorney聽聽
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document because like I said, many聽 people don't realize when you turn 18,聽聽
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that's the age of majority in the state of聽 Wisconsin and after that you need to name聽聽
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an agent under your healthcare power of attorney聽 to have someone to act for you, so for instance,聽聽
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a lot of kids go off to college at age聽 18. It's a good idea to have them fill out聽聽
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a healthcare power of attorney and get it聽 witnessed before they leave, if you're a parent聽聽
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before they leave the house and the good news is,聽 Wisconsin makes the healthcare power of attorney聽聽
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free, you can download it from the department聽 of health services and even a financial聽聽
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power of attorney, the basic document. Now I聽 recommend working with a lawyer, if you're able聽聽
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and they can guide you through these documents聽 but for someone like the college kid heading off,聽聽
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you can download that healthcare power of聽 attorney and get it filled out before you go聽聽
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and eventually, I may get to a video, I have聽 a video on how you can create your own basic聽聽
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will for free, so check out that video, if you're聽 interested but the process is similar for these聽聽
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other documents. It's more walking through聽 the document, taking your time to make your聽聽
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choices and then signing it in front of the聽 two witnesses because required by the law.
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So I hope today's episode of Estate聽 Planning 101, has been useful to you,聽聽
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again, I wanted to go over the highlights between聽 the differences of an agent under healthcare power聽聽
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of attorney and an agent under a financial power聽 of attorney and I know this stuff is confusing and聽聽
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often the first time for many folks, when they're聽 working with my office. So I'm creating these聽聽
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videos, at my office we believe in empowering the聽 client through education to put you in charge of聽聽
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your own estate planning and what I'm trying聽 to do with these videos is give you the tools聽聽
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to become educated and informed, so聽 then when you meet with your attorney,聽聽
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you can ask more informed questions and use your聽 time wisely, focusing on the other questions you聽聽
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have to be answered and this series, if you walk聽 through this Estate Planning 101 series, my goal聽聽
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is that you could become very informed about聽 the various tools we use in your estate planning聽聽
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before you meet with your lawyer. So thanks聽 for tuning in and we'll see you next time.