Assignment Of Patent printable pdf download

Sample Form (former PTO/SB/41) (05-01)

Docket Number (optional)

ASSIGNMENT OF PATENT

Whereas, I, ________________________________________of __________________________________, hereinafter

referred to as patentee, did obtain a United Stated Patent for an improvement in _______________________________

_______________________________________________________________________________________________

No.____________________________ , dated _______________________________ ; and whereas, I am now the sole

owner of said patent, and,

Whereas,_______________________________________________________________________________________

of _____________________________________________________________________________________________

hereinafter referred to as “assignee” whose mailing address is

________________________________________________________________________________________________

City of __________________________________, and State of _____________________________________________

is desirous of acquiring the entire right, title and interest in the same;

Now, therefore, in consideration of the sum of ________________dollars ($________________), the receipt whereof is

acknowledged, and other good and valuable consideration, I, the patentee, by these presents do sell, assign and transfer

unto said assignee the entire right, title and interest in and to the said Patent aforesaid; the same to be held and enjoyed

by the said assignee for his own use and behoof, and for his legal representatives and assigns, to the full end of the term

for which said Patent is granted, as fully and entirely as the same would have been held by me had this assignment and

sale not been made.

Executed this ______________________________day of ________________________, 20 _____________________,

at ______________________________________________________________________________________________.

(Signature)

State of_____________________)

County of ___________________)

SS:

Before me personally appeared said_______________________

and acknowledge the foregoing instrument to be his free act and deed this ______day

of ________________,20 ______________.

Seal

(Notary Public)

This form offers a sample or suggested format for an assignment document. This sample form is not an OMB officially approved form.

Assignment Of Patent