Power Of Attorney Or Revocation Of Power Of Attorney {PTO-SB-81} | Pdf Fpdf Docx | Official Federal Forms

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Power Of Attorney Or Revocation Of Power Of Attorney {PTO-SB-81} | Pdf Fpdf Docx | Official Federal Forms

Power Of Attorney Or Revocation Of Power Of Attorney {PTO-SB-81}

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

Alternate TextLast updated: 4/18/2019

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POWER OF ATTORNEY Application Number OR Filing Date REVOCATION OF POWER OF ATTORNEY First Named Inventor WITH A NEW POWER OF ATTORNEY AND Examiner Name HANGE OF CORRESPONDENCE ADDRESS Attorney Docket Number C PTO/SB/81 (01-09) Approved for use through /31/201. OMB 0651-0035 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. I hereby revoke all previous powers of attorney given in the above - identified application. A Power of Attorney is submitted herewith. OR I hereby appoint Practitioner(s) associated with the following Customer 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: OR I hereby appoint Practitioner(s) named below 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: Practitioner(s) Name Registration Number Please recognize or change the correspondence address for the above-identified application to: The address associated with the above-mentioned Customer Number. OR The address associated with Customer Number: OR Firm or Individual Name Address City State Zip Country Telephone Email I am the: Applicant/Inventor. OR Assignee of record of the entire interest. See 37 CFR 3.71. Statement under 37 CFR 3.73(b) (Form PTO/SB/96) submitted herewith or filed on . SIGNATURE of Applicant or Assignee of Record Signature Date Name Telephone Title and Company NOTE: Signatures of all the inventors or assignees of record of the entire interest or their representative(s) are required. 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 1.31, 1.32 and 1.33. 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 3 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. 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 Statement002 The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain i nformation in connection with your submission of the at tached 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 i nformation 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 appl ication or expiration of the pat ent. 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 theFreedom of Information Act (5 U.S.C. 552) and the Privacy Act (5 U.S.C 552a). Recordsfrom this system of records may be disclosed to the Department of Justice to determinewhether disclosure of these records is required by the Freedom of Information Act.2.A record from this system of records may be disclosed, as a routine use, in the course ofpresenting evidence to a court, magistrate, or administrative tribunal, including disclosuresto 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 ofCongress submitting a request involving an individual, to whom the record pertains, whenthe individual has requested assistance from the Member with respect to the subject matterof the record.4.A record in this system of records may be disclosed, as a routine use, to a contractor of theAgency having need for the information in order to perform a contract. Recipients ofinformation shall be required to comply with the requirements of the Privacy Act of 1974, asamended, pursuant to 5 U.S.C. 552a(m).5.A record related to an International Application filed under the Patent Cooperation Treaty inthis system of records may be disclosed, as a routine use, to the International Bureau ofthe World Intellectual Property Organization, pursuant to the Patent Cooperation Treaty.6.A record in this system of records may be disclosed, as a routine use, to another federalagency for purposes of National Security review (35 U.S.C. 181) and for review pursuant tothe 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 theAdministrator, General Services, or his/her designee, during an inspection of recordsconducted by GSA as part of that agency222s responsibility to recommend improvements inrecords management practices and programs, under authority of 44 U.S.C. 2904 and 2906.Such disclosure shall be made in accordance with the GSA regulations governinginspection of records for this purpose, and any other relevant (i.e., GSA or Commerce)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 aftereither publication of the application pursuant to 35 U.S.C. 122(b) or issuance of a patentpursuant to 35 U.S.C. 151. Further, a record may be disclosed, subject to the limitations of37 CFR 1.14, as a routine use, to the public if the record was filed in an application whichbecame abandoned or in which the proceedings were terminated and which application isreferenced by either a published application, an application open to public inspection or anissued patent.9.A record from this system of records may be disclosed, as a routine use, to a Federal,State, or local law enforcement agency, if the USPTO becomes aware of a violation orpotential violation of law or regulation. American LegalNet, Inc. www.FormsWorkFlow.com

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