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code: WFEE.APPEAL
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Description: Certification and Transmittal of Appeal Forwarding Fee
PTO/AIA/34 (06‐14)
Docket Number (Optional)
CERTIFICATION AND TRANSMITTAL OF APPEAL FORWARDING FEE
I hereby certify that this correspondence is being facsimile
In re Application of
transmitted to the USPTO, EFS‐Web transmitted to the USPTO, or
deposited with the United States Postal Service with sufficient
Application Number
Filed
postage in an envelope addressed to "Commissioner for Patents, P.O.
Box 1450, Alexandria, VA 22313‐1450" [37 CFR 1.8(a)]
For
on ______________________________________________________.
Signature _________________________________________________
Art Unit
Examiner
Typed or printed name ______________________________________
37 CFR 41.45 specifies that, in order to avoid dismissal of the appeal, appellant must pay the fee set in 37 CFR 41.20(b)(4) within two months of
the later of the date of either the examiner’s answer, or a decision refusing to grant a petition under 37 CFR 1.181 to designate a new ground of
rejection in an examiner’s answer.
The undersigned certifies that the appropriate fee accompanies this transmittal.
The fee for forwarding this appeal is (37 CFR 41.20(b)(4)) $ _____________________
Appellant asserts small entity status. See 37 CFR 1.27. Therefore, the fee shown above is reduced
by 50%, and the resulting fee is: $ _____________________
Appellant certifies micro entity status. See 37 CFR 1.29. Therefore, the fee shown above is reduced
by 75%, and the resulting fee is: $ _____________________
Form PTO/SB/15A or B or equivalent must either be enclosed or have been submitted previously.
A check in the amount of the fee is enclosed.
Payment by credit card. Form PTO‐2038 is attached.
The Director is hereby authorized to charge any fees which may be required, or credit any overpayment
to Deposit Account No. ______________________.
Payment made via EFS‐Web.
Extensions of time under 37 CFR 1.136(a) for patent applications are not applicable to the time period set forth in 37 CFR 41.45. See 37 CFR
1.136(b) for extensions of time to reply for patent applications and 37 CFR 1.550(c) for extensions of time to reply for ex parte reexamination
proceedings.
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.
I am the
appellant attorney or agent of record attorney or agent acting under 37 CFR 1.34
Registration number __________________
Registration number __________________
Signature __________________________________________________________________________________________________________
Typed or printed name _______________________________________________________________________________________________
Telephone Number __________________________________________________________________________________________________
Date ______________________________________________________________________________________________________________
NOTE: This form must be signed in accordance with 37 CFR 1.33. See 37 CFR 1.4 for signature requirements and certifications. Submit multiple
forms if more than one signature is required, see below*.
* Total of _____________ forms are submitted.
If you need assistance in completing the form, call 1‐800‐PTO‐9199 and select option 2.