Form Pto-1390 - Transmittal Letter To The United States Designated/elected Office (Do/eo/us) Concerning A Submission - 2013 Page 3
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4PTO-1390 (06-13)
Approved for use through 6/30/2013. OMB 0651-0021
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.
a.
A check in the amount of $_____________________ to cover the above fees is enclosed.
b.
Please charge my Deposit Account No. ___________________ in the amount of $____________________ to cover the above fees.
The Director is hereby authorized to charge additional fees which may be required, or credit any overpayment, to Deposit Account
c.
No. ___________________ as follows:
i.
any required fee.
any required fee except for excess claims fees required under 37 CFR 1.492(d) and (e) and multiple dependent claim fee
ii.
required under 37 CFR 1.492(f).
d.
Fees are to be charged to a credit card. WARNING: Information on this form may become public. Credit card information should not
be included on this form. Provide credit card information and authorization on PTO-2038. The PTO-2038 should only be mailed or
faxed to the USPTO. However, when paying the basic national fee, the PTO-2038 may NOT be faxed to the USPTO.
ADVISORY: If filing by EFS-Web, do NOT attach the PTO-2038 form as a PDF along with your EFS-Web submission. Please be
advised that this is not recommended and by doing so your credit card information may be displayed via PAIR. To protect your
information, it is recommended to pay fees online by using the electronic payment method.
NOTE: Where an appropriate time limit under 37 CFR 1.495 has not been met, a petition to revive (37 CFR 1.137(a) or (b)) must be
filed and granted to restore the International Application to pending status.
Statement under 37 CFR 1.55 or 1.78 for AIA (First Inventor to File)Transition Applications
This application (1) claims priority to or the benefit of an application filed before March 16, 2013, and (2) also contains, or contained at
any time, a claim to a claimed invention that has an effective filing date on or after March 16, 2013.
NOTE 1: By providing this statement under 37 CFR 1.55 or 1.78, this application, with a filing date on or after March 16, 2013, will be
examined under the first inventor to file provisions of the AIA.
NOTE 2: A U.S. national stage application may not claim priority to the international application of which it is the national phase. The filing
date of a U.S. national stage application is the international filing date. See 35 U.S.C. 363.
Correspondence Address
The address associated with Customer Number: _______________________
OR
Correspondence address below
Name
Address
City
State
Zip Code
Country
Telephone
Email
Signature
Date
Name
Registration No.
(Print/Type)
(Attorney/Agent)
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