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

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

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

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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PTO/SB/81A (12-08) Approved for use through 0/31/201. 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 patent. A Power of Attorney is submitted herewith. I hereby appoint Practitioner(s) associated with the Customer Number identified in the box at right as my/our attorney(s) or agent(s) with respect to the patent identified above, and to transact all business in the United States Patent and Trademark Office connected therewith: I hereby appoint Practitioner(s) named below as my/our attorney(s) or agent(s) with respect to the patent 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 patent to: The address associated with the above-identified Customer Number. The address associated with the Customer Number identified in the box at right: Firm or Individual Name Address City State Zip Country Telephone Email I am the: Inventor, having ownership of the patent. Patent owner. Statement under 37 CFR 3.73() (Form PTO/SB/96) submitted herewith or filed on . SIGNATURE of Inventor or Patent Owner Signature Date Name Telephone Title and Company NOTE: Signatures of all the inventors or patent owners of the entire interest or their representative(s) are required. If more than one signature is required, submit multiple forms, check the box below, and identify the total number of forms submitted in the blank below. A 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 update (and by the USPTO to process) the file of a patent or reexamination proceeding. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.14. This collection is estimated to take 15 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. PATENT - POWER OF ATTORNEY OR REVOCATION OF POWER OF ATTORNEY WITH A NEW POWER OF ATTORNEY AND CHANGE OF CORRESPONDENCE ADDRESS Patent Number Issue Date First Named Inventor Title Attorney Docket No. OR OR OR OR OR 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 inthe 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 Agencyhaving need for the information in order to perform a contract. Recipients of information shall be requiredto 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, GeneralServices, or his/her designee, during an inspection of records conducteresponsibility 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, tothe public if the record was filed in an application which became abandoned or in which the proceedingswere 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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