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USPTO Notice of Appeal Form
USPTO Notice of Appeal Form
USPTO Notice of Appeal Form
Approvedforusethrough07/31/2016.OMB06510031
U.S.PatentandTrademarkOffice;U.S.DEPARTMENTOFCOMMERCE
UnderthePaperworkReductionActof1995,nopersonsarerequiredtorespondtoacollectionofinformationunlessitdisplaysavalidOMBcontrolnumber.
NOTICEOFAPPEALFROMTHEEXAMINERTO
THEPATENTTRIALANDAPPEALBOARD
Iherebycertifythatthiscorrespondenceisbeingfacsimile
transmittedtotheUSPTO,EFSWebtransmittedtotheUSPTO,or
depositedwiththeUnitedStatesPostalServicewithsufficient
postageinanenvelopeaddressedto"CommissionerforPatents,P.O.
Box1450,Alexandria,onAlexandria,VA223131450"[37CFR1.8(a)]
DocketNumber(Optional)
InreApplicationof
ApplicationNumber
Filed
For
on______________________________________________________.
Signature_________________________________________________
ArtUnit
Examiner
Typedorprintedname______________________________________
ApplicantherebyappealstothePatentTrialandAppealBoardfromthelastdecisionoftheexaminer.
ThefeeforthisNoticeofAppealis(37CFR41.20(b)(1))$_____________________
Applicantassertssmallentitystatus.See37CFR1.27.Therefore,thefeeshownaboveisreduced
by50%,andtheresultingfeeis:$_____________________
Applicantcertifiesmicroentitystatus.See37CFR1.29.Therefore,thefeeshownaboveisreduced
by75%,andtheresultingfeeis:$_____________________
FormPTO/SB/15AorBorequivalentmusteitherbeenclosedorhavebeensubmittedpreviously.
Acheckintheamountofthefeeisenclosed.
Paymentbycreditcard.FormPTO2038isattached.
TheDirectorisherebyauthorizedtochargeanyfeeswhichmayberequired,orcreditanyoverpayment
toDepositAccountNo.______________________.
PaymentmadeviaEFSWeb.
Apetitionforanextensionoftimeunder37CFR1.136(a)(PTO/AIA/22orequivalent)isenclosed.
Forextensionsoftimeinreexaminationproceedings,see37CFR1.550.
WARNING:Informationonthisformmaybecomepublic.Creditcardinformationshouldnotbeincluded
onthisform.ProvidecreditcardinformationandauthorizationonPTO2038.
Iamthe
applicantattorneyoragentofrecordattorneyoragentactingunder37CFR1.34
Registrationnumber__________________Registrationnumber__________________
Signature__________________________________________________________________________________________________________
Typedorprintedname_______________________________________________________________________________________________
TelephoneNumber__________________________________________________________________________________________________
Date______________________________________________________________________________________________________________
NOTE:Thisformmustbesignedinaccordancewith37CFR1.33.See37CFR1.4forsignaturerequirementsandcertifications.Submitmultiple
formsifmorethanonesignatureisrequired,seebelow*.
*Totalof_____________formsaresubmitted.
Thiscollectionofinformationisrequiredby37CFR41.20(b)(1)and41.31.Theinformationisrequiredtoobtainorretainabenefitbythepublicwhichistofile(and
bytheUSPTOtoprocess)anapplication.Confidentialityisgovernedby35U.S.C.122and37CFR1.11,1.14and41.6.Thiscollectionisestimatedtotake12minutes
tocomplete,includinggathering,preparing,andsubmittingthecompletedapplicationformtotheUSPTO.Timewillvarydependingupontheindividualcase.Any
commentsontheamountoftimeyourequiretocompletethisformand/orsuggestionsforreducingthisburden,shouldbesenttotheChiefInformationOfficer,
U.S.PatentandTrademarkOffice,U.S.DepartmentofCommerce,P.O.Box1450,Alexandria,VA223131450.DONOTSENDFEESORCOMPLETEDFORMSTOTHIS
ADDRESS.SENDTO:CommissionerforPatents,P.O.Box1450,Alexandria,VA223131450.
Ifyouneedassistanceincompletingtheform,call1800PTO9199andselectoption2.