Instruction Letter Of Wishes Template – US

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Updated – 2025 /2026


Guidance Document for Expressing Personal Wishes

The information provided serves as a general template to assist individuals in drafting formal declarations concerning their personal preferences and instructions related to estate management or succession planning. It is not legal advice and should not replace consultation with a qualified attorney or estate planning professional. Legal requirements and regulations differ by jurisdiction, so modifications may be necessary to comply with local laws. The use of this template is at the user’s own risk, and no liability is assumed for any errors, omissions, or consequences resulting from its application without professional review.


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Please note: This is a sample Instruction Letter of Wishes template for the US, provided here for illustrative purposes only. Actual content may vary based on individual preferences and legal considerations.

Sample Instruction Letter of Wishes (US)

Introduction:

This letter serves as a formal expression of my personal wishes concerning my estate and end-of-life preferences. It is intended to guide my loved ones and legal representatives in accordance with my desires.

Personal Information:

Name: ________________________________
Address: ________________________________
Date of Birth: ________________________________

Statement of Wishes:

I, [Full Name], hereby state my personal directives regarding my healthcare, estate distribution, and other matters as outlined below. These wishes are made voluntarily and without undue influence.

Specific Instructions:

  • I wish to receive or decline certain medical treatments: ________________________________
  • My preferences concerning end-of-life care: ________________________________
  • Designated beneficiaries for my estate: ________________________________
  • Any additional instructions or comments: ________________________________

Designated Agent or Executor:

Name: ________________________________
Relationship: ________________________________
Contact Info: ________________________________

Dated this ________ day of ____________, 20____

__________________________
Signature
__________________________
Witness (if applicable)