Reissue Application Declaration By The Assignee {PTO-AIA-06} | Pdf Fpdf Doc Docx | Official Federal Forms

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Reissue Application Declaration By The Assignee {PTO-AIA-06} | Pdf Fpdf Doc Docx | Official Federal Forms

Reissue Application Declaration By The Assignee {PTO-AIA-06}

This is a Official Federal Forms form that can be used for Patent within US Patent Office.

Alternate TextLast updated: 2/28/2017

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. Doc Code: REIS.DECL Doc Code: Document Description: Reissue Declaration Filed In Accordance With MPEP 1414 PTO/AIA/06 (02-17) Approved for use through 01/31/2020. OMB 0651-0033 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. Doc Code: REISSUE APPLICATION DECLARATION BY THE ASSIGNEE I hereby declare that: Docket Number (optional) The residence and mailing address of the inventor or joint inventors are stated below. Name of the Assignee: I am authorized to act on behalf of the assignee (if the assignee is a juristic entity). The entire title to the patent identified below is vested in said assignee, or if there are multiple assignees/owners, all assignees/owners have executed a Reissue Application Declaration to account for the entire title of the patent identified below. Inventor Residence: City Mailing Address City State Zip Country State Country Additional Inventors are named on separately numbered sheets attached hereto. Patent Issue Date Patent Number I believe said inventor(s) to be the original inventor or original joint inventors of the subject matter which is described and claimed in said patent, for which a reissue patent is sought on the invention titled: the specification of which is attached hereto. was filed on as reissue application number . The above-identified application was made or authorized to be made by me. I hereby acknowledge that any willful false statement made in this declaration is punishable under 18 U.S.C. 1001 by fine or imprisonment of not more than five (5) years, or both. I believe the original patent to be wholly or partly inoperative or invalid, for the reasons described below. (Check all boxes that apply.) by reason of a defective specification or drawing. by reason of the patentee claiming more or less than he had the right to claim in the patent. by reason of other errors. This collection of information is required by 37 CFR 1.175. 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 and 1.14. This collection is estimated to take 30 minutes 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 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO THIS ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450. [Page 1 of 2] If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2. American LegalNet, Inc. www.FormsWorkFlow.com REISSUE APPLICATION DECLARATION BY THE ASSIGNEE PTO/AIA/06 (02-17) Approved for use through 01/31/2020. OMB 0651-0033 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. Doc Code: Docket Number (Optional) At least one error upon which reissue is based is described below. If the reissue is a broadening reissue, a claim that the application seeks to broaden must be identified and the box below must be checked: [Attach additional sheets, if needed.] The application for the original patent was filed under 37 CFR 1.46 by the assignee of the entire interest. I hereby appoint: Practitioners associated with Customer Number: OR Practitioner(s) named below: Name Registration Number as my/our attorney(s) or agent(s) to prosecute the application identified above, and to transact all business in the United States Patent and Trademark Office connected therewith. Correspondence Address: Direct all communications about the application to: The address associated with Customer Number: OR Firm or Individual Name Address City Country Telephone Email State Zip 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 security numbers, bank account numbers, or credit card numbers (other than a check or credit card authorization form PTO-2038 submitted for payment purposes) is never required by the USPTO to support a petition or an application. If this type of personal information is included in documents submitted to the USPTO, petitioners/applicants should consider redacting such personal information from the documents before submitting them to the USPTO. Petitioner/applicant is advised that the record of a patent application is available to the public after publication of the application (unless a non-publication request in compliance with 37 CFR 1.213(a) is made in the application) or issuance of a patent. Furthermore, the record from an abandoned application may also be available to the public if the application is referenced in a published application or an issued patent (see 37 CFR 1.14). Checks and credit card authorization forms PTO-2038 submitted for payment purposes are not retained in the application file and therefore are not publicly available. Signature Legal name of person signing Address of Assignee [Page 2 of 2] American LegalNet, Inc. www.FormsWorkFlow.com WARNING: Date (Optional) Privacy Act Statement The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in connection with your submission of the attached form related to a patent application or patent. Accordingly, pursuant to the requirements of the Act, please be advised that: (1) the general authority for the collection of this information is 35 U.S.C. 2(b)(2); (2) furnishing of the information solicited is voluntary; and (3) the principal purpose for which the information is used by the U.S. Patent and Trademark Office is to process and/or examine your submission related to a patent application or patent. If you do not furnish the requested information, the U.S. Patent and Trademark Office may not be able to process and/or examine your submission, which may result in termination of proceedings or abandonment of the application or

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