Complete and send this form, together with the applicable fee(s), by mail or fax, or via EFS-Web.
By mail, send to: M a il St o p I SSU E FE E
Commissioner for Patents
P.O. Box 1450
Alexandria, VA 22313-1450
By fax, send to: (571) 273-2885
INSTRUCTIONS: This form should be used for transmitting the ISSUE FEE and PUBLICATION FEE (if required). Blocks 1 through 5 should be completed where appropriate.
All further correspondence including the Patent, advance orders and notification of maintenance fees will be mailed to the current correspondence address as indicated unless
corrected below or directed otherwise in Block 1, by (a) specifying a new correspondence address; and/or (b) indicating a separate FEE ADDRESS” for maintenance fee
CURRENT CORRESPONDENCE ADDRESS (Note: Use Block 1 for any change of address)
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I hereby certify that this Fee(s) Transmittal is being deposited with the United
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addressed to the Mail Stop ISSUE FEE address above, or being transmitted to the
USPTO via EFS-Web or by facsimile to (571) 273-2885, on the date below.
(Typed or printed name)
1. Change of correspondence address or indication ofFee
Address” (37 CFR 1.363)
Change of correspondence address (or Change of
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form PTO/SB/47; Rev 03-09 or more recent)
attached. Use of a Customer Number is required.
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or agents OR, alternatively,
(2) The name of a single firm (having as a member
a registered attorney or agent) and the names of
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no name is listed, no name will be printed.
PLEASE NOTE: Unless an assignee is identified below, no assignee data will appear on the patent. If an assignee is identified below, the document must have been
previously recorded, or filed fo r recordation, as set forth in 37 CFR 3.11 and 37 CFR 3.81(a). Completion of this form is NOT a substitute for filing an assignment.
Please check the appropriate assignee category or categories (will not be printed on the patent): Individual Corporation or other private group entity Government
4a. Fees Submitted: Issue Fee Publication Fee (if required) Advance Order - # of Copies __________
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Applicant certifying micro entity status. See 37 CFR 1.29. NOTE: Absent a valid Certification of Micro Entity Status (see forms PTO/SB/15A and 15B), issue fee
payment in the micro entity amount will not be accepted at the risk of application abandonment.
Applicant asserting small entity status. See 37 CFR 1.27. NOTE: If the application was previously under micro entity status, checking this box will be taken as
a notification of loss of entitlement to micro entity status.
Applicant changing to regular undiscounted fee status. NOTE: Checking this box will be taken as a notification of loss of entitlement to small or micro entity
status, as applicable.
NOTE: This form must be signed in accordance with 37 CFR 1.31 and 1.33. See 37 CFR 1.4 for signature requirements and certifications.
Authorized Signature Date
Typed or printed name Registration No.
PTOL-85 Part B (08-18) Approved for use through 03/31/2023 OMB 0651-0033 U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
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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 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
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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 of Information Act (5 U.S.C. 552)
and the Privacy Act (5 U.S.C 552a). Records from this system of records may be disclosed to the Department of Justice to determine
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2. A record from this system of records may be disclosed, as a routine use, in the course of presenting evidence to a court, magistrate, or
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3. A record in this system of records may be disclosed, as a routine use, to a Member of Congress submitting a request involving an
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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
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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 system of records may be disclosed, as
a routine use, to the International Bureau of the 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 federal agency for purposes of National Security review
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during an inspection of records conducted by GSA as part of that agency’s responsibility to recommend improvements in records
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 governing inspection 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 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. 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 application open to public inspection or an
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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 or potential violation of law or regulation.