Fee Address Indication Form {PTO-SB-47} | Pdf Fpdf Docx | Official Federal Forms

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Fee Address Indication Form {PTO-SB-47} | Pdf Fpdf Docx | Official Federal Forms

Fee Address Indication Form {PTO-SB-47}

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

Alternate TextLast updated: 1/7/2019

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Doc Code: MFEE.C.AD Document Description: Maintenance Fee Address Change PTO/AIA/47 (11-18) Approved for use through 09/30/2021. OMB 0651-0016 U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE Under the Paperwork Reduction Act of 1995, no person is required to respond to a collection of information unless it displays a valid OMB control number. 223FEE ADDRESS224 INDICATION FORM Address to: Mail Stop M Correspondence Commissioner for Patents -OR- P.O. Box 1450 Alexandria, VA 22313-1450Fax to: 571-273-6500 INSTRUCTIONS: The issue fee must have been paid for the application(s) listed on this form. In addition, only an address represented by a Customer Number can be established as the fee address for maintenance fee purposes (hereafter, fee address). A fee address should be established when correspondence related to maintenance fees should be mailed to a different address than the correspondence address for the application. When to check the first box below: If you have a Customer Number to represent the fee address. When to check the second box below: If you have no Customer Number representing the desired fee address, in which case a completed Request for Customer Number (PTO/SB/125) must be attached to this form. For more information on Customer Numbers, see the Manual of Patent Examining Procedure (MPEP) 247 403. For the following listed application(s), please recognize as the 223Fee Address224 under the provisions of 37 CFR 1.363 the address associated with: Customer Number: OR The attached Request for Customer Number form (PTO/SB/125) PATENT NUMBER (if known) APPLICATION NUMBER Completed by (check one): Applicant/Inventor Signature Attorney or Agent of record Reg. No. Typed or printed name Assignee of record of the entire interest. See 37 CFR 3.71. Statement under 37 CFR 3.73(c) (Form PTO/AIA/96) is enclosed or was filed on (Date) Requester222s telephone number Date NOTE: Signatures of all the inventors or assignees of record of the entire interest or their representative(s) are required. If the assignee is a juristic entity, this form must be signed by a patent practitioner (attorney or agent) of record. Submit multiple forms if more than one signature is required, see below*. *Total of forms are submitted This collection of information is required by 37 CFR 1.363. The information is required to obtain or retain a benefit by the public, which is to indicate (and for the USPTO to process) a fee address. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.11 and 1.14. This collection is estimated to take 5 minutes to complete, including gathering, preparing, and submitting the completed 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 COMPLETED FORMS TO THE PREVIOUS ADDRESS. SEND COMPLETED FORMS TO: Mail Stop M Correspondence, Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450. If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2. American LegalNet, Inc. www.FormsWorkFlow.com 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 expiration of the patent. The information provided by you in this form will be subject to the following routine uses: 1.The information on this form will be treated confidentially to the extent allowed under the Freedom ofInformation Act (5 U.S.C. 552) and the Privacy Act (5 U.S.C 552a). Records from this system of recordsmay be disclosed to the Department of Justice to determine whether disclosure of these records isrequired by the Freedom of Information Act.2.A record from this system of records may be disclosed, as a routine use, in the course of presentingevidence to a court, magistrate, or administrative tribunal, including disclosures to opposing counsel in the course of settlement negotiations.3.A record in this system of records may be disclosed, as a routine use, to a Member of Congresssubmitting a request involving an individual, to whom the record pertains, when the individual hasrequested assistance from the Member with respect to the subject matter of the record.4.A record in this system of records may be disclosed, as a routine use, to a contractor of the Agency having need for the information in order to perform a contract. Recipients of information shall be required to comply with the requirements of the Privacy Act of 1974, as amended, pursuant to 5 U.S.C. 552a(m). 5.A record related to an International Application filed under the Patent Cooperation Treaty in this systemof records may be disclosed, as a routine use, to the International Bureau of the World IntellectualProperty Organization, pursuant to the Patent Cooperation Treaty.6.A record in this system of records may be disclosed, as a routine use, to another federal agency forpurposes of National Security review (35 U.S.C. 181) and for review pursuant to the Atomic Energy Act (42 U.S.C. 218(c)).7.A record from this system of records may be disclosed, as a routine use, to the Administrator, General Services, or his/her designee, during an inspection of records conducted by GSA as part of that agency222sresponsibility to recommend improvements in records management practices and programs, underauthority of 44 U.S.C. 2904 and 2906. Such disclosure shall be made in accordance with the GSAregulations governing inspection of records for this purpose, and any other relevant (i.e., GSA orCommerce) directive. Such disclosure shall not be used to make determinations about individuals.8.A record from this system of records may be disclosed, as a routine use, to the public after eitherpublication of the application pursuant to 35 U.S.C. 122(b) or issuance of a patent pursuant to 35 U.S.C. 151. Further, a record may be disclosed, subject to the limitations of 37 CFR 1.14, as a routine use, to the public if the record was filed in an application which became abandoned or in which the proceedings were terminated and which application is referenced by either a published application, an applicationopen to public inspection or an issued patent.9.A record from this system of records may be disclosed, as a routine use, to a Federal, State, or local lawenforcement agency, if the USPTO becomes aware of a violation or potential violation of law orregulation. American LegalNet, Inc. www.FormsWorkFlow.com

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