Patent Assignment Form - Montclair State University

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A S S I G N M E N T
In consideration of One Dollar ($1.00), and other good and valuable consideration, the receipt
_______,
of
which
is hereby acknowledged, we, the undersigned, ___________________
______________________________________________
residing at
Hereby sell, assign and
transfer
to MONTCLAIR STATE UNIVERSITY, an educational
institution of the UNITED STATES having a place of operations at 1 Normal Avenue,
Montclair, NJ 07043 and to its respective successors, assigns and legal representatives, the
entire right, title and interest for all countries, in and to any and all inventions which are
disclosed and claimed, and any and all inventions which are disclosed but not claimed, in the
application for Letters Patent, which has been executed by the undersigned and is entitled
“TITLE of PATENT”
Int'l App'l No. ______________ , Filed ___________________
,
which claims benefit of U.S.
Serial No.
, Filed
and in and to said application and all divisional, continuing, substitute, renewal, reissue, and all
other applications for United States Letters Patent or other related property rights in any and all
foreign countries which have been or shall be filed on any of said inventions disclosed in said
application; and in and to all original and reissued patents or related foreign documents which
have been or shall be issued on said inventions;
Authorize and request the Commissioner of Patents of the United States to issue to said
Assignee, the educational institution above named, its successors, assigns and legal
representatives, in accordance with this assignment, any and all United States Letters Patent on
said inventions or any of them disclosed in said application;
Agree that said Assignee may apply for and receive foreign Letters Patent or rights of any other
kind for said inventions, or any of them; and may claim, in applications for said foreign Letters
Patent or other rights, the priority of the aforesaid United States patent application under the
provisions of the International Convention of 1883 and later modifications thereof, under the
Patent Cooperation Treaty, under the European Patent Convention or under any other available
international agreement; and that, when requested, without charge to, but at the expense of, said
Assignee, its successors, assigns and legal representatives, to carry out in good faith the
intent and purpose of this assignment, the undersigned or the undersigned's executors or
administrators will, for the United States and all foreign countries, execute all divisional,
Assignment
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