Form Pto/sb/66 - Petition To Accept Unintentionally Delayed Payment Of Maintenance Fee In An Expired Patent - 2013 Page 3
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4PTO/SB/66 (04-13)
Approved for use through 05/31/2015. OMB 0651-0016
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.
PETITION TO ACCEPT UNINTENTIONALLY DELAYED PAYMENT
OF MAINTENANCE FEE IN AN EXPIRED PATENT (37 CFR 1.378(b))
Page 3 of 3
9. OVERPAYMENT
As to any overpayment made, please
Credit to Deposit Account
No. ____________
OR
Send refund check
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.
10. STATEMENT
The delay in payment of the maintenance fee for this patent was unintentional.
11. PETITIONER(S) REQUEST THAT THE DELAYED PAYMENT OF THE MAINTENANCE FEE BE ACCEPTED AND THE PATENT REINSTATED.
___________________________________
__________________________________________________________
Date
Signature(s) of Petitioner(s)
___________________________________
__________________________________________________________
Registration Number, if applicable
Typed or Printed Name(s)
___________________________________
Telephone Number
_____________________________________________________________________________________________________________________
Address
_____________________________________________________________________________________________________________________
Address
37 CFR 1.378(c) states: “Any petition under this section must be signed in compliance with § 1.33(b)."
12. ENCLOSURES
Maintenance Fee Payment
Petition fee under 37 CFR 1.17(m) (fee for filing the maintenance fee petition)
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
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