Fillable Form Ptol-85 Part B - Fee(S) Transmittal printable pdf download

PARTB–FEE(S)TRANSMITTAL

Complete and send this form, together with the applicable fee(s), to: Mail

Mail Stop ISSUE FEE

Commissioner for Patents

P.O. Box 1450

Alexandria, Virginia 22314-1450

or Fax

(571)-273-2885

INSTRUCTIONS: This form should be used for transmitting the ISSUE FEE and PUBLICATION FEE (if required). Blocks 1 through 5 should be completed where

appropriate. All further correspondence including the Patent, advance orders and notification of maintenance fees will be mailed to the current correspondence address

as indicated unless corrected below or directed otherwise in Block 1, by (a) specifying a new correspondence address; and/or (b) indicating a separate "FEE

ADDRESS" for maintenance fee notifications.

Note: A certificate of mailing can only be used for domestic

CURRENT CORRESPONDENCE ADDRESS (Note Use Block 1 for any change of address)

mailings of the Fee(s) Transmittal. This certificate cannot be used

for any other accompanying papers. Each additional paper, such as

an assignment or formal drawing, must have its own certificate of

mailing or transmission.

Certificate of Mailing or Transmission

I hereby certify that this Fee(s) Transmittal is being deposited with

the United States Postal Service with sufficient postage for first

class mail in an envelope addressed to the Mail Stop ISSUE FEE

address above, EFS-Web transmitted, or facsimile transmitted to

the USPTO (571) 273-2885, on the date indicated below.

(Depositor’s Name)

(S-signature)

(Date)

APPLICATION NO

FILING DATE

FIRST NAMED INVENTOR

ATTORNEY DOCKET NO

CONFIRMATION NO

TITLE OF INVENTION:

APPLN: TYPE

ENTITY STATUS

ISSUE FEE DUE

PUBLICATION FEE DUE

PREV. PAID ISSUE FEE

TOTAL FEE(S) DUE

DATE DUE

EXAMINER

ART UNIT

CLASS-SUBCLASS

2. For printing on the patent front page, list

1. Change of correspondence address or indication of “Fee

Address” (37CFR 1.363).

(1) The names of up to 3 registered patent attorneys

or agents OR, alternatively,

Change of correspondence address (or Change of

(2) The name of a single firm (having as a member a

Correspondence Address form PTO/SB/122) attached.

registered attorney or agent) and the names of up

“Fee Address” indication (or “Fee Address” Indication

to 2 registered attorney or agent. If no name is

form PTO/SB/47; Rev 03-02 or more recent) attached. Use of

listed, no name will be printed

a Customer Number is required.

ASSIGNEE NAME AND RESIDENCE DATA TO BE PRINTED ON THE PATENT (print or type)

PLEASE NOTE: Unless an assignee is identified below, no assignee data will appear on the patent. If an assignee is identified below, the document has been filed

for recordation as set forth in 37 CFR 3.11. Completion of this form is NOT a substitute for filing an assignment.

1a. NAME OF ASSIGNEE

(B) RESIDENCE: (CITY and STATE OR COUNTRY)

Please check the appropriate assignee categories (will not be printed on the patent):

Individual

Corporation or other private group entity

Government

☐

4a. The following fee(s) are submitted:

4b. Payment of Fees(s): (Please first reapply and previously paid fee shown above)

Issue Fee

A check is enclosed