PTO/SB/66 (12-13)
Approved for use through 07/31/2018. OMB 0651-0016
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 valid OMB control number
PETITION TO ACCEPT UNINTENTIONALLY DELAYED PAYMENT OF MAINTENANCE FEE IN AN
EXPIRED PATENT (37 CFR 1.378(b))
Issue Date
Application
Filing Date
Patent Number
Docket Number (if applicable)
(YYYY-MM-DD
Number
(YYYY-MM-DD
)
)
CAUTION: Maintenance fee payment must correctly identify: (1) the patent number and (2) the application number of the actual U.S.
application leading to issuance of that patent to ensure the fee(s) is/are associated with the correct patent. 37 CFR 1.366(c) and (d).
SMALL ENTITY
Patentee claims, or has previously claimed, small entity status. See 37 CFR 1.27.
LOSS OF ENTITLEMENT TO SMALL ENTITY STATUS
Patentee is no longer entitled to small entity status. See 37 CFR 1.27(g)
Small Entity
NOT Small Entity
Fee
Code
Fee
Code
3 ½ year
(2551)
3 ½ year
(1551)
7 ½ year
(2552)
7 ½ year
(1552)
11 ½ year
(2553)
11 ½ year
(1553)
PETITION FEE
The petition fee required by 37 CFR 1.17(m) (Fee Code 1558 /2558) must be paid as a condition of accepting unintentionally delayed
payment of the maintenance fee.
MAINTENANCE FEE (37 CFR 1.20(e)-(g))
The appropriate maintenance fee must be submitted with this petition.
STATEMENT
THE UNDERSIGNED CERTIFIES THAT THE DELAY IN PAYMENT OF THE MAINTENANCE FEE TO THIS PATENT WAS
UNINTENTIONAL
PETITIONER(S) REQUEST THAT THE DELAYED PAYMENT OF THE MAINTENANCE FEE BE ACCEPTED AND THE PATENT
REINSTATED
THIS PORTION MUST BE COMPLETED BY THE SIGNATORY OR SIGNATORIES
37 CFR 1.378(c) states: “Any petition under this section must be signed in compliance with 37 CFR 1.33(b).”
I certify, in accordance with 37 CFR 1.4(d)(4) that I am
An attorney or agent registered to practice before the Patent and Trademark Office
A sole patentee
A joint patentee; I certify that I am authorized to sign this submission on behalf of all the other patentees as evidenced by the power
of attorney in the application
A joint patentee; all of whom are signing this e-petition
The assignee of record of the entire interest that qualifies as an authorized party under 37 CFR 1.33(b)
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