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Exhibit B NOTARIZED STATEMENT RELATED TO AMOUNT OF PERSONAL NEEDS MONEY AVAILABLE UPON A RESIDENTS DEATH MEDICAID NONMEDICAL RESIDENTS NAME: DATE OF DEATH: SOCIAL SECURITY# AMOUNT OF PERSONAL NEEDS
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How to fill out notarized statement related to

01
To fill out a notarized statement related to a particular matter, follow these steps:
02
Start by reading the document thoroughly to understand what information is required.
03
Gather all the necessary information, including personal details, dates, and any supporting documents.
04
Write a clear and concise statement addressing the matter at hand. Use specific language and avoid ambiguity.
05
Make sure to include all relevant facts and details, providing a complete picture of the situation.
06
Use proper grammar and spelling to ensure clarity and avoid misunderstandings.
07
Verify if any additional signatures or witnesses are required for the statement.
08
Once the statement is complete, print it on a plain white paper to ensure legibility.
09
Sign the document in the presence of a notary public, who will verify your identity and acknowledge your signature.
10
Submit the notarized statement to the appropriate authorities or individuals as per the given instructions.
11
Keep a copy of the notarized statement for your records.

Who needs notarized statement related to?

01
A notarized statement related to can be required by various individuals and organizations, including:
02
- Legal professionals, such as lawyers and attorneys, who need sworn statements as evidence in legal proceedings.
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- Government agencies that require notarized statements for official purposes, such as immigration or licensing.
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- Businesses that may need notarized statements for matters like contracts, agreements, or financial transactions.
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- Individuals involved in personal matters, such as affidavits for name changes, custody disputes, or power of attorney.
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- Financial institutions that may request notarized statements for loan applications, mortgage documents, or banking matters.
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It is important to check the specific requirements of the situation or organization to determine if a notarized statement is necessary.
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It is related to legal documents that have been certified by a notary public.
Individuals or entities who are required by law or regulation to submit certified documents.
Fill out the form with accurate information, sign it in front of a notary public, and have the notary certify the document.
The purpose is to provide assurance that the document is authentic and the signatory is who they claim to be.
The document should include the full name of the signatory, date of signing, and any relevant information required by the specific form.
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