Fillable Credit Card Payment Form printable pdf download

United States Patent and Trademark Office

Instructions for Completing the Credit Card Payment Form

Credit Card Information



Enter all credit card information including the payment amount to be charged to your credit card and

remember to sign the form. The United States Patent and Trademark Office (USPTO) cannot process credit

card payments without an authorized signature.



The USPTO does not accept a general authorization to charge any payment deficiency or any additional fees

to a credit card.

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The USPTO does not accept debit cards or check cards that require use of a personal identification number

as a method of payment.

Credit Card Billing Address



Address information is required for credit card payment as a means of verification. Failure to complete

the address information, including zip/postal code, may result in the payment not being accepted by

your credit card institution.

Request and Payment Information



Provide a description of your request based on the payment amount. For example, indicate the item as

“basic filing fee” (patent) or “first maintenance fee” (patent maintenance fee) or “application for

registration” (trademark) or “certified copy of a patent” (other fee).



Indicate the nature of your request by the type of fee you wish to pay: Patent Fee, Patent Maintenance Fee,

Trademark Fee or Other Fee. Complete information for each type of fee as applicable to identify the nature

of your request. Indicate only one type of fee per form.



If you are requesting and paying a fee based on a previously filed patent or trademark application, indicate

the application/serial number, patent number or registration number that is associated with your request.

“Other Fee” is used to request copies of patent and trademark documents, certified copies, assignments, and

other information products.

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IDON numbers are assigned by the USPTO for customers ordering patent and trademark information and

products specified as “Other Fee” on the order form. If you have been assigned an IDON number from a

previous customer order, include it with your request.



For more information on USPTO fees and amounts, refer to the current fee schedule at

(click on the “Site Index” link, “Fees, USPTO” link). To request a copy by mail, call the USPTO Contact

Center at (800) 786-9199 or (571) 272-1000. Information on mailing addresses is also available at

(click on the “Site Index” link, “Mailing Addresses” link).

Protect Your Credit Card Information

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The USPTO strongly recommends using this form for credit card payments submitted by mail, facsimile, or

by hand-delivery. To protect your credit card information use only this form and do not include credit card

information on any other form or document.

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To protect your credit card information, do not submit this form electronically through “EFS-Web” or

any other USPTO Web site. Credit card information for electronic credit card payments should be entered

exclusively on the USPTO Web site providing electronic payment capability.

Credit Card Payment Form

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