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E: Please print, sign and date the form before sending to the street address, fax number or e-mail address below. Please return completed form to: Guardian Assistance Network (GAN) King County Supreme Court, 360 Adams Street, Room 723, Brooklyn, NY 11201 TELEPHONE: 347-296-1948 FAX: 212-618-5856 E-MAIL: GAN@nycourts.gov Upon receipt of a completed Affirmation, a Certificate of Completion will be mailed to the address of guardian listed above. .

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