Form Pto/aia/07 - Substitute Statement In Lieu Of An Oath Or Declaration For Reissue Patent Application (35 U.s.c. 115(D) And 37 Cfr 1.64) Page 2
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4PTO/AIA/07 (0 -1)
Approved for use through 01/31/2020. OMB 0651-0033
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.
SUBSTITUTE STATEMENT IN LIEU OF AN OATH OR DECLARATION FOR
REISSUE PATENT APPLICATION (35 U.S.C. 115(d) AND 37 CFR 1.64)
If there are joint inventors, please check the appropriate box below:
An application data sheet under 37 CFR 1.76 (PTO/AIA/14 or equivalent) naming the entire inventive entity has been
or is currently submitted.
OR
An application data sheet under 37 CFR 1.76 (PTO/AIA/14 or equivalent) has not been submitted. Thus, a Substitute
Statement Supplemental Sheet (PTO/AIA/11 or equivalent) naming the entire inventive entity and providing inventor
information is attached. See 37 CFR 1.64(b).
I believe the original patent to be wholly or partly inoperative or invalid, for the reasons described below.
(Check all boxes that apply.)
by reason of a defective specification or drawing.
by reason of the patentee claiming more or less than he had the right to claim in the patent.
by reason of other errors.
At least one error upon which reissue is based is described below. If the reissue is a broadening
reissue, a claim that the application seeks to broaden must be identified:
WARNING:
Petitioner/applicant is cautioned to avoid submitting personal information in documents filed in a patent application that may
contribute to identity theft. Personal information such as social security numbers, bank account numbers, or credit card numbers
(other than a check or credit card authorization form PTO-2038 submitted for payment purposes) is never required by the USPTO
to support a petition or an application. If this type of personal information is included in documents submitted to the USPTO,
petitioners/applicants should consider redacting such personal information from the documents before submitting them to the
USPTO. Petitioner/applicant is advised that the record of a patent application is available to the public after publication of the
application (unless a non-publication request in compliance with 37 CFR 1.213(a) is made in the application) or issuance of a
patent. Furthermore, the record from an abandoned application may also be available to the public if the application is
referenced in a published application or an issued patent (see 37 CFR 1.14). Checks and credit card authorization forms
PTO-2038 submitted for payment purposes are not retained in the application file and therefore are not publicly available.
PERSON EXECUTING THIS SUBSTITUTE STATEMENT:
Name:
Date (Optional):
Signature:
$33/,&$171$0($1'7,7/(2)PERSON EXECUTING THIS SUBSTITUTE STATEMENT:
If the applicant is a juristic entity, list the applicant name and the title of the signer.
Applicant Name:
7LWOHRI3HUVRQ([HFXWLQJ
7KLV6XEVWLWXWH6WDWHPHQW
7KHVLJQHUZKRVHWLWOHLVVXSSOLHGDERYHLVDXWKRUL]HGWRDFWRQEHKDOIRIWKHDSSOLFDQW
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