Form Pto/aia/34 - Certification And Transmittal Of Appeal Forwarding Fee

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code:  WFEE.APPEAL 
Doc  
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. 

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