Form Pto/aia/81 -Power Of Attorney To One Or More Of The Joint Inventors - 2012

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PTO/AIA/81 (07-12)

Approved for use through 11/30/2014. 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.

Application Number

Filing Date

POWER OF ATTORNEY TO ONE OR

First Named Inventor

MORE OF THE JOINT INVENTORS

Art Unit

AND CHANGE OF

Examiner Name

CORRESPONDENCE ADDRESS

Title

NOTE: This form may be filed by pro se inventors (i.e., prosecuting the application without a registered patent

practitioner) who are identified as the Applicant in the above-identified application. For a Power of Attorney to one

or more registered patent practitioners, see form PTO/AIA/82.

I hereby revoke all previous powers of attorney given in the above-identified application.

I hereby appoint the following joint inventor(s) to prosecute the application identified above, and

to transact all business in the United States Patent and Trademark Office connected therewith:

Please recognize or change the correspondence address for the above-identified application to:

The address associated with Customer Number. (if applicable):

-To Request A Customer Number see form PTO/SB/124

Individual Name

Address

City

State

Zip

Country

Telephone

I am the Inventor.

SIGNATURE of Inventor

Signature

Date

Telephone

Name

See 37 CFR 1.4 for signature

NOTE: Signatures of all the inventors are required. Submit multiple forms if more than one sig nature is re q uired , see below*.

requirements and certifications.

*Total of ____________ forms are submitted.

JRF

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 depend ing 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

Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450

ADDRESS. SEND TO:

If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2.