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TERMINAL DISCLAIMER TO ACCOMPANY PETITION
UNDER 37 CFR 1.137 IN A DESIGN APPLICATION
FILED ON OR AFTER SEPTEMBER 16, 2012
First named inventor:
The applicant, _____________________________________________, owner of __________ percent interest in the instant design
application, hereby disclaims a terminal part of the statutory term of any patent granted on the instant design application equivalent to the
period of abandonment of the instant design application. This disclaimer also applies to any patent granted on a continuing design
application that contains a specific reference under 35 U.S.C. 120, 121, 365(c), or 386(c) to the instant design application. This disclaimer
is binding upon the grantee, and its successors or assigns.
Check either box 1 or 2 below, if appropriate.
I hereby acknowledge that any willful false statements made are punishable under 18 U.S.C. 1001 by fine or imprisonment of not more
than five (5) years, or both.
The undersigned is the applicant. If the applicant is an assignee, the undersigned is authorized to act on behalf of the assignee.
The undersigned is an attorney or agent of record. Reg. No. _______________
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