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Petition To Accept Unintentionally Delayed Payment Of Maintenance Fee In Expired Patent 37 CFR 1.378(c) PTO-SB-66 - Official Federal Forms
| Petition To Accept Unintentionally Delayed Payment Of Maintenance Fee In Expired Patent 37 CFR 1.378(c) Form. This is a national form and can be used in Patent US Patent Office . |
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PTO/SB/66 (0413) Approved for use through 05/31/2015. OMB 06510016 U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. PETITION TO ACCEPT UNINTENTIONALLY DELAYED PAYMENT OF MAINTENANCE FEE IN AN EXPIRED PATENT (37 CFR 1.378(c)) Page 1 of 3 Mail to: Mail Stop Petition Commissioner for Patents P.O. Box 1450 Alexandria, VA 223131450 Fax: (571) 2738300 Docket Number (Optional) NOTE: If information or assistance is needed in completing this form, please contact the Office of Petitions at (571) 2723282. Patent No. _________________________________________ Issue Date _________________________________________ Application Number _________________________________________ Filing Date _________________________________________________ CAUTION: Maintenance fee (and surcharge, if any) payment must correctly identify: (1) the patent number (or reissue patent number, if a reissue) and (2) the application number of the actual U.S. application (or reissue application) leading to issuance of that patent to ensure the fee(s) is/are associated with the correct patent. 37 CFR 1.366(c) and (d). Also complete the following information, if applicable. The aboveidentified patent is a reissue of original Patent No. ___________________________________ original issue date ___________________________________ original application number ___________________________________ original filing date ___________________________________. resulted from the entry into the U.S. under 35 U.S.C. 371 of international application ___________________________________ filed on ___________________________________. CERTIFICATE OF MAILING (37 CFR 1.8(a)) I hereby certify that this paper (* along with any paper referred to as being attached or enclosed) is being deposited with the United States Postal Service on the date shown below with sufficient postage as first class main in an envelope addressed to Mail Stop Petition, Commissioner for Patents, P.O. Box 1450, Alexandria, VA 223131450, or facsimile transmitted to the U.S. Patent and Trademark Office on the date shown below. ___________________________________ __________________________________________________________ Date Signature __________________________________________________________ Typed or Printed Name of Person Signing Certificate [page 1 of 3] This collection of information is required by 37 CFR 1.378(c). The information is required to obtain or retain a benefit by the public which is to file (and by the USPTO to process) an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.11, 1.14 and 41.6. This collection is estimated to take 1 hour to complete, including gathering, preparing, and submitting the completed application form to the USPTO. Time will vary depending upon the individual case. Any comments on the amount of time you require to complete this form and/or suggestions for reducing this burden, should be sent to the Chief Information Officer, U.S. Patent and Trademark Office, U.S. Department of Commerce, P.O. Box 1450, Alexandria, VA 223131450. DO NOT SEND FEES OR COMPLETED FORMS TO THIS ADDRESS. SEND TO: Mail Stop Petition, Commissioner for Patents, P.O. Box 1450, Alexandria, VA 223131450. If you need assistance in completing the form, call 1800PTO9199 and select option 2. American LegalNet, Inc. www.FormsWorkFlow.com PTO/SB/66 (0413) Approved for use through 05/31/2015. OMB 06510016 U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. PETITION TO ACCEPT UNINTENTIONALLY DELAYED PAYMENT OF MAINTENANCE FEE IN AN EXPIRED PATENT (37 CFR 1.378(c)) Page 2 of 3 1. SMALL ENTITY Patentee asserts, or has previously asserted, small entity status. See 37 CFR 1.27. 2. LOSS OF ENTITLEMENT TO SMALL ENTITY STATUS Patentee is longer entitled to small entity status. See 37 CFR 1.27(g). 3. MICRO ENTITY Patentee certifies, or has previously certified, micro entity status. See 37 CFR 1.29 Form PTO/SB/15A or B or equivalent must either be enclosed or have been submitted previously. 4. LOSS OF ENTITLEMENT TO MICRO ENTITY STATUS Patentee is longer entitled to micro entity status. See 37 CFR 1.29(i). 5. MAINTENANCE FEE (37 CFR 1.20(e)(g)) The appropriate maintenance fee must be submitted with this petition, unless it was paid earlier. Undiscounted Fee 3½ yr fee 7½ yr fee 11½ yr fee Small Entity Fee 3½ yr fee 7½ yr fee 11½ yr fee Micro Entity Fee 3½ yr fee 7½ yr fee 11½ yr fee Amount (Code) (1551) (1552) (1553) Amount (Code) (2551) (2552) (2553) Amount (Code) (3551) (3552) (3553) $ ____________ $ ____________ $ ____________ $ ____________ $ ____________ $ ____________ $ ____________ $ ____________ $ ____________ MAINTENANCE FEE BEING SUBMITTED $ ____________ 6. SURCHARGE The surcharge required by 37 CFR 1.20(i)(2) of: $ ____________ Undiscounted (Fee Code 1558); $ ____________ Small Entity (Fee Code 2558); or $ ____________ Micro Entity (Fee Code 3558), must be paid as a condition of accepting an unintentionally delayed payment of a maintenance fee. SURCHARGE FEE BEING SUBMITTED $ ____________ 7. MANNER OF PAYMENT Enclosed is a check for the sum of $ ____________ Please charge Deposit Account No. ____________ the sum of $ ____________ Payment by credit card. Form PTO2038 is attached. Payment made via EFSWeb. 8. AUTHORIZATION TO CHARGE ANY FEE DEFICIENCY The Director is hereby authorized to charge any maintenance fee, surcharge or petition deficiency to Deposit Account No. ____________ American LegalNet, Inc. www.FormsWorkFlow.com PTO/SB/66 (0413) Approved for use through 05/31/2015. OMB 06510016 U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. PETITION TO ACCEPT UNINTENTIONALLY DELAYED PAYMENT OF MAINTENANCE FEE IN AN EXPIRED PATENT (37 CFR 1.378(c)) Page 3 of 3 9. OVERPAYMENT As to any overpayment made, please Credit to Deposit Account No. ____________ OR Send refund check WARNING: Petitioner/applicant is cautioned to avoid submitting personal information in documents filed in a patent application that may contribute to identity theft. Personal information, such as social
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