Form PTO Form 2201 PTO Form 2201 Request for Permission to Withdraw as Attorney of Record

Withdrawal of Attorney

United States Patent and Trademark Office
Trademark Electronic Application System
PTO Form PTO Form 2201 (Rev 5/2006)
OMB No. 0651-0056 (Exp. 09/30/2011 )

Request for Permission to Withdraw as Attorney of Record
TEAS - Version 4.8 : 01/22/2011
Please enter the serial/registration number(s)* for which you are seeking to withdraw as the Attorney
of Record. For multiple requests, separate each number with a space, with no punctuation. Then, click
on the Continue button, below; or, to start over, click on the CLEAR button.
WARNING: If entering multiple serial/registration numbers, the owner must be the same for ALL
listed numbers. If not, complete separate withdrawal forms. Otherwise, upon withdrawal, the new
correspondence address will not be correct for any number beyond the first listed serial/registration
number.
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
validate and you must begin the entire process again; you can, however, extend the time limit. You
should always try to have all information required to complete the form prior to starting any session.
* You must complete any field preceded by the symbol "*"

*Please enter the Serial/Registration Number(s):

WARNING: The owner of record must be identical for all entered serial/registration numbers, since the
correspondence address will be updated to that of the owner upon processing of this withdrawal request.
If there are different owners, you must file separate withdrawal requests.
OR
Access previously-saved data using the "Browse/Choose File" button below to access the file from
your local drive. NOTE: For specific instructions, please click here. FAILURE TO FOLLOW
THESE INSTRUCTIONS WILL RESULT IN THE DISPLAY OF YOUR DATA IN AN XML
FORMAT THAT CANNOT BE EDITED. NOTE: Do NOT attempt to use the button below to
upload an image file (for example, a specimen). You must use the button that will be presented for
that purpose within the proper section of the actual form.

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Withdrawal of Attorney

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Burden/Privacy Policy

The information collected on this form allows an attorney to request withdrawal as the appointed attorney for an application. 37 C.F.
R. Part 2, 2.19. All information collected will be made public. Gathering and providing the information will require an estimated 12
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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Thu Jun 23 16:34:25 EDT 2011

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