Advance Directive in Lancaster County, Pennsylvania — Free PDF & Word (2026 Updated)

Free county-specific template for Lancaster County residents (Pop. 552,984)

Sales Tax: 6%Notary: $5Witnesses: 1

Lancaster County Information

According to Pennsylvania laws, this agreement holds legal weight once properly signed and notarized, ensuring compliance with state regulations.

In Pennsylvania, according to Pennsylvania State Code, a 6% sales tax applies to applicable transactions. Notary fees in PA typically range from $5. A single witness signature is sufficient under state law.

Using this template ensures you're protected under Pennsylvania law while saving time and money on legal fees.

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ADVANCE DIRECTIVE FOR HEALTHCARE
State of Pennsylvania

PART I — APPOINTMENT OF HEALTHCARE AGENT

I, [YOUR NAME], of [ADDRESS], Pennsylvania PA, appoint the following person as my Healthcare Agent:

Agent Name: [AGENT NAME]
Address: [AGENT ADDRESS]
Phone: [PHONE]

Alternate Agent: [ALTERNATE NAME]
Address: [ALTERNATE ADDRESS]
Phone: [PHONE]

My Healthcare Agent is authorized to make all healthcare decisions for me when I am unable to do so, including decisions about life-sustaining treatment.

PART II — INSTRUCTIONS FOR HEALTHCARE

If I am terminally ill or permanently unconscious:
[  ] I DO want life-sustaining treatment
[  ] I DO NOT want life-sustaining treatment
[  ] I want treatment only if my doctor believes it will improve my condition

Artificial Nutrition and Hydration:
[  ] I DO want artificial nutrition and hydration
[  ] I DO NOT want artificial nutrition and hydration

Pain Management:
I want all measures taken to keep me comfortable and free from pain, even if such measures hasten my death.

Organ Donation:
[  ] I wish to donate my organs and tissues
[  ] I do not wish to donate my organs

PART III — GENERAL PROVISIONS
This directive is made in accordance with Pennsylvania law (PA Statutes). It shall remain in effect until revoked.

DECLARANT SIGNATURE: _____________________ DATE: _____

WITNESS 1: _____________________ DATE: _____
WITNESS 2: _____________________ DATE: _____

NOTARY (if required in Pennsylvania):
Subscribed and sworn before me this ___ day of _______, 20__.
Notary Public: _____________________

Pennsylvania Advance Directive Requirements

Review the following requirements to ensure your Advance Directive is legally valid in Pennsylvania.

1 witness must sign
Notarization may be required
Healthcare agent designated
Alternate agent named
Life-sustaining treatment preferences stated
Organ donation wishes specified
Pain management instructions included
Declarant must be of sound mind
Effective immediately or upon incapacity
Revocation clause included

Pennsylvania Notarization

While notarization may not be required in Pennsylvania, it is recommended. Fees range from $5.

Before You Sign

Review all information carefully. In Pennsylvania, a 6% sales tax may apply.

Legal Protection

Keep copies of all signed documents. Pennsylvania law requires all parties to receive copies of executed documents.

Pennsylvania Filing Deadlines

Check Pennsylvania deadlines for filing or recording this document with the appropriate county clerk's office.

Advance Directive Costs in Pennsylvania

Estimated fees and processing times

Fee TypeCostNotes
Notary Fee$5-$15 (if required)Pennsylvania standard rate: $5
Filing FeeVaries by stateState registration (if applicable)
Processing Time1-3 business daysTypical turnaround in Pennsylvania
Sales Tax6%Pennsylvania base rate (local taxes may apply)
Witness Requirement1 witnessSingle witness sufficient
Our TemplateFREEDownload instantly, no cost
Fees shown are Pennsylvania-specific estimates. Contact your local office for exact pricing.

Filing Your Advance Directive in Lancaster County

Residents of Lancaster County (552,984 population) can use this template for medical care instructions if you become incapacitated. This document complies with Pennsylvania state law.

County Filing Steps

  1. Download and complete the Advance Directive template
  2. Gather 1 witness as required by Pennsylvania law
  3. Visit the Lancaster County Clerk's Office for filing
  4. Pay applicable county filing fees
  5. Keep copies for all parties involved

FAQ: Advance Directive in Lancaster County, Pennsylvania

Is a Advance Directive required in Pennsylvania?

Yes, in Pennsylvania, a Advance Directive is required for most transactions of this type. Under Pennsylvania State Code, the document must include all parties' information, be signed, and witnessed by at least one individual. Failure to use a proper Advance Directive may result in legal complications.

Does a Advance Directive need to be notarized in Pennsylvania?

Notarization requirements in Pennsylvania (PA) vary by transaction type. Notary fees in the state typically range from $5. While not always mandatory, notarization adds an extra layer of legal protection and is recommended for high-value transactions.

What are the tax implications of a Advance Directive in Pennsylvania?

Pennsylvania has a base sales tax rate of 6%. Depending on the type of transaction documented in your Advance Directive, additional local taxes may apply. Consult with a Pennsylvania tax professional for specific guidance on your situation.

Where do I file a Advance Directive in Lancaster County?

In Lancaster County, you can file your Advance Directive at the Lancaster County Clerk's Office. Contact them for specific filing requirements, hours, and fees. Population served: 552,984 residents.

JRJ
Reviewed & Fact-Checked

Jennifer Rodriguez, J.D.

Estate Planning Attorney

Licensed in 5 states, 12+ years experience

Focuses on wills, trusts, and power of attorney documents

This Advance Directive template for Pennsylvania has been reviewed for accuracy and legal compliance.

Last reviewed: March 2026

Location Information

County
Lancaster County
State
Pennsylvania (PA)
Population
552,984
Document
Advance Directive
Sales Tax
6%
Notary Fee
$5

Pennsylvania Legal Requirements

Governing Statute:

State Law

  • Consult with a licensed attorney for specific requirements
View All Pennsylvania Templates

Legal Disclaimer

This template is for informational purposes only. County-specific ordinances in Lancaster County may apply. For legal advice, consult a licensed attorney in Pennsylvania.