Form PTO-1683 Combined Declaration of Continued Use/Excusable Nonuse a

Combined Declaration of Continued Use/Excusable Nonuse and Incontestability Under S... Page 1 of 2

United States Patent and Trademark Office
Trademark Electronic Application System
PTO Form 1683 (Rev 9/2012)
OMB No. 0651-0051 (Exp. 09/30/2012 )

Combined Declaration of Continued Use/Excusable Nonuse
and Incontestability Under Sections 71 and 15
(15 U.S.C. § 1141 & 1065)
TEAS - Version 4.9 : 10/29/2011
You may file a Combined Declaration of Continued Use/Excusable Nonuse and Incontestability under
Sections 71 and 15 only if you have continuously used a mark registered on the Principal Register in
commerce for five (5) consecutive years after the date of U.S. registration. You must file the
Combined Declaration, specimen, and fee on a date that falls on or between the fifth (5th) and sixth
(6th) anniversaries of the U.S. registration (or, for an extra fee of $100.00 per class, you may file
within the six-month grace period following the sixth anniversary date). If you have NOT
continuously used the mark in commerce for five (5) consecutive years, you must still file a Section
71 Declaration. Please use the separate Declaration of Continued Use and Excusable Nonuse Under
Section 71 form available from the Registration Maintenance/Renewal/Correction Forms index.
FAILURE TO FILE THE SECTION 71 DECLARATION WILL RESULT IN CANCELLATION OF
THE U.S. REGISTRATION AND INVALIDATION OF THE PROTECTION OF THE
INTERNATIONAL REGISTRATION IN THE UNITED STATES.

NOTE: You must complete any field preceded by the symbol "*".

WARNING: This form has a session time limit of 60 minutes. Your "session" began as soon as you
accessed this initial Form Wizard page. If you exceed the 60-minute time limit, the form will not
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should always try to have all information required to complete the form prior to starting any session.

(required only if completing the form for the
* Enter a Registration
Number:

first time)
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and NOT a serial number.

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from your local drive. NOTE: For specific instructions, please click here. FAILURE TO
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3/26/2012

Combined Declaration of Continued Use/Excusable Nonuse and Incontestability Under S... Page 2 of 2

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WARNING: The owner of a registered extension of protection of an international registration to the
United States must renew the international registration directly with the International Bureau (IB).
Under Section 70(b) of the Trademark Act, if the international registration is not renewed, the IB
will notify the USPTO that the registration has expired. The USPTO will update its record to expire
the corresponding extension of protection to the United States as of the expiration date of the
international registration.

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Clear
Burden/Privacy Statement

The information collected on this form allows the registrant to demonstrate that it is using the mark in commerce. With respect to
applications filed on the basis of a request for extension of protection of an international registration with an intention to use the
mark, responses to the request for information are required to retain the benefit of a registration on the Principal register. 15
U.S.C. § 1141k. and 37 C.F.R. Part 7, 7.36 and 7.37. The owner of a registered mark may respond to the request for information to
attest to the incontestability of the registration. 15 U.S.C. § 1065 and 37 CFR Part 2, 2.167 and 2.168. All information collected will
be made public. Gathering and providing the information will require an estimated 15 minutes. Please direct comments on the time
needed to complete this form, and/or suggestions for reducing this burden to the Chief Information Officer, U.S. Patent and
Trademark Office, U.S. Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. Please note that the USPTO may not
conduct or sponsor a collection of information using a form that does not display a valid OMB control number.

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http://teasg.uspto.gov/s71n15/

3/26/2012