"State of Georgia
County of __________________
I, __________________, do hereby designate __________________ with the right to control the disposition of my remains upon my death. I __________________ have __________________ have not attached specific directions concerning the disposition of my remains with which the designee shall substantially comply, provided that such directions are lawful and there are sufficient resources in my estate to carry out the directions.
Subscribed and sworn to before me this __________________ day of the month of __________________ of the year __________________.
__________________ (signature of affiant)
__________________ (signature of notary public)";
OCGA § 31-21-7