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PTO/SB/26a (02-14)
Approved for use through 11/30/2020. OMB 0651-0031
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
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TERMINAL DISCLAIMER IN A PATENT OR PROCEEDING
IN VIEW OF ANOTHER PATENT
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Application/Control Number:
Filing Date:
First Named Inventor:
Title:
Patent No.:
The patentee, _____________________________________________, owner of __________ percent interest in the instant patent hereby
disclaims, except as provided below, the terminal part of the statutory term of the instant patent which would extend beyond the expiration
date of the full statutory term of patent No. ____________________ (the “reference patent”), as the term of said reference patent is presently
shortened by any terminal disclaimer. The patentee hereby agrees that the instant patent shall be enforceable only for and during such period
that the instant patent and the reference patent are commonly owned. This agreement runs with the instant patent and is binding upon the
grantee, its successors or assigns.
In making the above disclaimer, the patentee does not disclaim the terminal part of the instant patent that would extend to the expiration date
of the full statutory term of the reference patent, “as the term of said reference patent is presently shortened by any terminal disclaimer,” in
the event that said reference patent later: expires for failure to pay a maintenance fee; is held unenforceable; is found invalid by a court of
competent jurisdiction; is statutorily disclaimed in whole or terminally disclaimed under 37 CFR 1.321; has all claims canceled by a
reexamination certificate; is reissued; or is in any manner terminated prior to the expiration of its full statutory term as shortened by any
terminal disclaimer.
I. Check either box 1, 2, or 3 below, as appropriate, if there is an assignment:
1. The current ownership was established by the filing of a statement under 37 CFR 3.73 during prosecution of the application that
issued as the instant patent.
2. The instant patent was issued from an application filed on or after September 16, 2012, and the current patent owner was the
applicant under 37 CFR 1.46.
3. A statement under 37 CFR 3.73 is attached herewith. Form PTO/SB/96 or PTO/AIA/96, as appropriate, may be used.
II. Authorization for Terminal Disclaimer - Check either box 1 or 2 below, if appropriate:
I hereby acknowledge that any willful false statements made are punishable under 18 U.S.C. 1001 by fine or imprisonment of not
more than five (5) years, or both.
1. For submissions on behalf of a business/organization (e.g., corporation, partnership, university, government agency, etc.), the
undersigned is empowered to act on behalf of the business/organization.
2. The undersigned is an attorney or agent of record. Reg. No. _______________
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The terminal disclaimer fee under 37 CFR 1.20(d) is included.
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Privacy Act Statement
The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in connection with your
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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)
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application or expiration of the patent.
The information provided by you in this form will be subject to the following routine uses:
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The information on this form will be treated confidentially to the extent allowed under t
he Freedom of
Information Ac
t (5 U.S.C. 552) and the Privacy Act (5 U.S.C 552a). Records from this system of re
cords may
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Freedom of Information Act.
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urse of
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equested assistance from
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pursuant to the Patent Coop
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A record in this system of records may be disclosed, as a routine use, to another federal agency fo
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A record from this system of records may be disclosed, as a routine use, to the Administrator, General
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e, during an inspection of records conducted by GSA as
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grams, under authority of
44 U.S.C. 290
4 and 2906. Such disclosure shall be made in accordance with the GSA regulations
governing
inspection of r
ecords for this purpose, and any other relevant (i.e., GSA or Commerce) directive.
Such
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8. A record from this system of records may be disclosed, as a routine use, to the public
after either publication of
the application
pursuant to 35 U.S.C. 122(b) or issuance of a patent pursuant to 35 U.S.C. 151. Fu
rther, a
record may be disclosed, su
bject to the limitations of 37 CFR 1.14, as a routine use, to the public if
the record
w
as filed in an application which became abandoned or in which the proceedings were terminated and wh
ich
application is r
eferenced by either a published application, an application open to public inspection
or an issued
patent.
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A record from this system of records may be disclosed, as a routine use, to a Federal, State, or local law
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