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Notice
regarding Section 508 of the Workforce Investment Act of 1998:
Section 508 of the Workforce Investment Act of 1998 requires that all
U.S. Federal Agencies make their web sites fully accessible to
individuals with disabilities. See 29 U.S.C. §794d. While the
Trademark Electronic Application System (TEAS) forms do comply with
Section 508, the PDF preview of the TEAS forms currently do not meet
all standards for web accessibility. If you cannot access a TEAS form
preview or have any questions about this notice, please contact the
Trademark Assistance Center (TAC) at 1-800-786-9199 (select
option#1), Monday-Friday, 8:30 a.m. to 8 p.m., ET.
PTO-2316
Approved
for use through XX/XX/20XX. OMB 0651-0051
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 contains a
valid OMB control number
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Petition
To Director To Review Denial Of Certification Of International
Application
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Use
this option ONLY if
a specific TEAS form does not already exist for the purpose of
this filing. Please double-check all possible TEAS forms before
attempting to proceed.
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TIMEOUT
WARNING: You're required to log back in after 30
minutes of inactivity.
This ensures the USPTO complies with mandatory
federal information security standards and
protects user information. After 25 minutes of inactivity, you
will be prompted to continue your session. If you do not
continue within 5 minutes, the session will end, you will be
logged out of your USPTO.gov account, and you will lose any
unsaved data in the form. Please have all of your information
ready before you start.
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of Form
NOTE: You
must complete any field/section preceded by the symbol "*".
WARNING: To
use the global form successfully, please note these
requirements: Do NOT use your browser's "BACK" or
"FORWARD" buttons at any time to navigate through any
form; instead, always use the navigational tools provided
specifically at the bottom of the form pages. If you have
installed anti-spam filters or software on your email service,
please ensure that legitimate emails from [email protected],
are not falsely identified as spam or junk.
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* Serial/Registration/Reference
Number
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of Form
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of Form
USPTO
Reference Number
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Mark
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Owner/Holder
Information
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Email Address:
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Attorney
Information
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Email Address:
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Primary
Email Address for Correspondence
Warning: This
is the email address currently of record in the USPTO database. If
it is not the email address of either the appointed attorney, if
any, otherwise the owner, it must be updated.
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Secondary
Email Address(es) (Courtesy Copies)
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Use
this form to update the information above. A current email address
must be provided for the trademark owner/holder and the appointed
attorney, if any. The Primary
Email Address for Correspondence is
the email address of the attorney, if appointed, if not, the
trademark owner/holder. This is the official address for receiving
communications from the USPTO. Courtesy email addresses may be
provided within this form.
Is
a newly
appearing U.S.-licensed attorney filing
this form or do you need to update the bar information, email
address, street address, phone or fax number for an already appointed
attorney?
Foreign-domiciled
owners/holders must
have a U.S.-licensed attorney represent
them before the USPTO in any application-or registration-related
filing. Information
about hiring a U.S.-licensed attorney can
be found on the USPTO website.
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Yes
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No
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of Form
Text
Entry/File Upload
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NOTE:
For additional information on how to use the free-text entry
box, click
here.
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SPECIAL
FORM INSTRUCTIONS: You must provide
the following as part of this submission: (1) a statement of the
relevant facts (and if the facts are to be proved on petition, a
supporting affidavit or declaration signed by someone with firsthand
knowledge); and (2) any relevant documentation or other evidence, if
appropriate.
If the reason for denial of certification is
due to a mistake in the international application as submitted to the
USPTO, you must attach a completed MM2 form, available on the WIPO
website, with the correct data. If the petition is granted, the
substitute form will be certified and forwarded to the International
Bureau (IB).
If the reason for denial of certification is
due to differences in the basic applications and/or registrations and
the correct data in the international application, a substitute MM2
form is not required. However, the basic applications and/or
registrations must be corrected to match the information in the
international application before it can be certified.
If
your international fees were refunded, the IB will issue a notice of
irregularity requiring payment of the necessary fees, and you will
have to pay the IB directly.
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Text
Entry
Style
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Font Type
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Font Size
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AND/OR
File
Upload
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WARNING: The
file MUST be in JPG/PDF format (not exceeding 5 megabytes per
attachment for JPG or 30 megabytes per attachment for PDF) or
.WAV, .WMV, .WMA, .MP3, .MPG, or .AVI format (not exceeding 5
megabytes for sound files or 30 megabytes for motion files).
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Uploaded
Files
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Name
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Action
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Owner
Information
Instructions:
Update
the mailing address, if needed.
The address entered on this page is publicly viewable in the
USPTO's TSDR database
and is presumed to be the owner's/holder's domicile.
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Owner
Name
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Internal
Address
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* Mailing
Address
(Entered
address is publicly viewable in the USPTO's TSDR database.
This address must be capable of receiving mail and may be your
street address, a P.O. box, or a "care of" address.)
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NOTE: You
must limit your entry here, and for all remaining fields within
this overall section (except City, see below), to no more than 40
characters (the storage limit for the USPTO database). You may
need to abbreviate some words, e.g., St. instead of Street.
Failure to do so may result in an undeliverable address, due to
truncation at the 40 character limit.
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* City
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NOTE: You
must limit your entry here to no more than 22 characters.
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* State
(Required
for U.S. owners/holders)
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NOTE: You
must include as part of the "City" entry any
information related to geographical regions (e.g., provinces) not
found in the dropdown lists for "States" or
"Countries." Enter the city and then the geographical
region, separated by a comma (e.g., Toronto, Ontario). In most
instances, you will then also have to select the country within
which the region is found, below.
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* Country/Region/Jurisdiction/U.S.
Territory
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* Zip/Postal
Code
(Required for
U.S. and certain international addresses)
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Domicile
Address
(Entered
address is not publicly viewable in the USPTO's TSDR database
unless it is the same as the mailing address. If your mailing
address is not your domicile, you must enter the number, street,
city, state, country or U.S. territory, and if applicable,
zip/postal code of your domicile address.
In most cases, a P.O. box, "care of" address, or
similar variation is not acceptable as a domicile address.)
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Uncheck
this box if the Domicile Address and mailing address of the
applicant owner/holder are NOT the same.
Indicate
place you reside and intend to be your principal home (for
individual) or your principal place of business (for entity).
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Phone
Number
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Fax
Number
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* Email
Address
Confirm
that the email address is correct before continuing. The owner
email address is not publicly viewable in the
USPTO's TSDR database.
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The
owner/holder is required to provide an email address and keep
that address current. If the owner/holder is represented by a
U.S.-licensed attorney, only the attorney's email address will be
used for correspondence by the USPTO.
NOTE: The
owner/holder or the owner's/holder's attorney acknowledges that
he or she is solely responsible for receiving USPTO emails.
Additionally, the owner/holder or the owner's/holder's attorney
is responsible for periodically checking the status of the
application/registration using the Trademark
Status & Document Retrieval (TSDR) system.
USPTO notices and office actions issued in this
application/registration can be viewed online using TSDR.
The USPTO is not responsible for any failure to receive a
USPTO-issued email due to the receiver's security or anti-spam
software, or any problems with the receiver's email system.
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Attorney
Information
Tip: Updating
the attorney information will NOT result in an update to the
Domestic Representative information, if one is appointed. Use
the Change
Address or Representation form
to update the address(es) of the Domestic Representative.
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Attorney
Name
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Individual
Attorney Docket/Reference Number
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* Bar
Membership
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* Year
of Admission
* U.S.
State/Commonwealth/Territory
* Membership
Number
You
must enter "N/A" or a membership/registration number if
your U.S. state, commonwealth, or territory issues one. This
number is not viewable in TSDR.
You
must limit your entry here to no more than 40 alphanumeric
characters.
* The
attorney of record is an active member in good standing of the
bar of the highest court of a U.S. state, the District of
Columbia, or any U.S. Commonwealth or territory.
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Other
Appointed Attorney(s)
Recognized
Canadian Attorney/Agent
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Firm
Name
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Internal
Address
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* Street
Address
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NOTE:You
must limit your entry here, and for all remaining fields within
this overall section (except City, see below), to no more than 40
characters (the storage limit for the USPTO database). You may
need to abbreviate some words, e.g., St. instead of Street.
Failure to do so may result in an undeliverable address, due to
truncation at the 40 character limit.
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* City
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NOTE: You
must limit your entry here to no more than 22 characters.
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* State
(Required
for U.S. addresses)
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NOTE: You
must include as part of the "City" entry any
information related to geographical regions (e.g., provinces) not
found in the dropdown lists for "States" or
"Countries." Enter the city and then the geographical
region, separated by a comma (e.g., Toronto, Ontario). In most
instances, you will then also have to select the country within
which the region is found, below.
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* Country/Region/Jurisdiction/U.S.
Territory
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* Zip/Postal
Code
(Required for
U.S. and certain international addresses)
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Phone
Number
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Fax
Number
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* Email
Address
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The
appointed attorney's email address must be provided and kept
current with the USPTO.
NOTE: The
owner/holder or the owner's/holder's attorney acknowledges that
he or she is solely responsible for receiving USPTO emails.
Additionally, the owner/holder or the owner's/holder's attorney
is responsible for periodically checking the status of the
application/registration using the Trademark
Status & Document Retrieval (TSDR) system.
USPTO notices and office actions issued in this
application/registration can be viewed online using TSDR.
The USPTO is not responsible for any failure to receive a
USPTO-issued email due to the receiver's security or anti-spam
software, or any problems with the receiver's email system.
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Correspondence
Information
To
make changes to the Primary
Email Address for Correspondence below,
either
return
to the Owner Information section (if no attorney has been
appointed) and enter the change, or
use
the Attorney Information section of the form to enter the change
(if an attorney has been appointed).
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Name
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Email
Address
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Primary
Email Address for Correspondence :
Secondary
Email Address(es) (Courtesy Copies) :
Enter
up to 4 addresses, separated by either a semicolon or
a comma.
Only
the Primary Email Address for Correspondence is used for official
communication by the USPTO. If an attorney has been appointed,
the USPTO will correspond ONLY with the appointed attorney;
otherwise the USPTO will correspond with the owner/holder. The
owner/holder or the attorney must keep this email address current
with the USPTO.
NOTE: I
understand that (1) a valid email address must be maintained by
the owner/holder and the owner's/holder's attorney, if appointed,
for correspondence and (2) all official trademark correspondence
must be submitted via the Trademark Electronic Application System
(TEAS).
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of Form
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To pay a fee for any of
the items that may be listed below in the "Additional
Fees" portion, use the pulldown menu in the "Multiplier"
column to "activate" that fee choice. Repeat as
necessary. The "Overall Total Amount" will reflect
all selected "Additional Fees," along with any
"Required Fees," if specifically so designated in the
form.
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Required
Fees
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Fee
Information
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Per
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Multiplier
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Fee
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Total
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Petition
to Director Fee
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Per
Application:
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1
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x
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$250
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$250
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Required
Fees Total
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$250
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Additional
Fees
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Fee
Information
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Per
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Multiplier
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Fee
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Total
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7.6(a)(1)
Certifying an International application based on single
application or registration
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Per
Class:
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0
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x
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$100
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$0
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7.6(a)(2)
Certifying an International application based on more than one
basic application or registration
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Per
Class:
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0
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x
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$150
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$0
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Additional
Fees Total
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$0
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i
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To electronically
sign this document, enter any alpha/numeric characters
(letters/numbers) of your choosing, preceded and
followed by the forward slash (/) symbol. Most signatories
enter their name between the two forward slashes; examples
of acceptable "signatures" include: /john doe/;
/jd/; or /123-4567/.
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DECLARATION
SIGNATURE
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Click to
choose ONE signature
method:
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Sign
electronically directly on this form
Email
Text Form to second party for electronic
signature
Handwritten
pen-and-ink signature
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I hereby elect to bypass the
submission of a signed declaration, because I believe a declaration
is not required by the rules of practice. I understand that the
examiner could, upon later review, require a signed declaration.
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The
signatory being hereby warned that willful false
statements and the like are punishable by fine or
imprisonment, or both, under 18 U.S.C. §
1001, and that such willful false statements and
the like may jeopardize the validity of the
application, submission, or any registration
resulting therefrom, declares that the facts set
forth above are true; all statements made of
his/her own knowledge are true; and all statements
made on information and belief are believed to be
true.
NOTE:
Only
one signature is required, regardless of the
number of owners/holders. The person signing for
each section may be different, depending on who
has the required knowledge to sign.
* Signature
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Examples
of acceptable "signatures" include: /john doe/; /jd/; or
/123-4567/.
NOTE: Must
be personally signed by the individual listed in the Signatory's Name
field. 37
C.F.R. §2.193(a). The
person signing may not enter someone else's signature.
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* Date
Signed
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(MM/DD/YYYY)
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* Signatory's
Name
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* Signatory's
Position
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Enter
appropriate title or nature of relationship to the owner/holder.
If
the signer is
- An individual
owner/holder, enter "Owner"
or "Holder" as appropriate.
- Joint
individual owners/holders, enter
"Owners" or "Holders" as appropriate.
-
A business entity authorized
signatory, enter official title; e.g., "President" (if a
corporation),"General Partner" (if a partnership), or
"Principal" (if a limited liability company).
- A
U.S.-licensed attorney,
enter "Attorney of record," and if not specified in the
application or prior communications, specify at least one state bar
admission, e.g., "Attorney of record, New York Bar member."
Also, if the signing attorney is from the same U.S. firm as the
attorney of record, but was not listed in the original filing and is
not otherwise of record, also include law firm name, e.g., Associate
Attorney, Smith, Jones & Davis, Virginia Bar member.
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Signatory's Phone Number
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SUBMISSION
SIGNATURE
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Click to choose
ONE signature
method :
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Sign
electronically directly on this form
Email
Text Form to second party for electronic signature
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NOTE:
Although a possible combination as selected on the form, the
following signing method must NOT be used: declaration signed
directly and submission signed through the email text form approach.
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*You must click one of
the three buttons below to confirm that you are legally authorized to
sign this form based on the trademark rules governing representation
of others before the USPTO.
If you have a U.S.-licensed
attorney representing you in this application, only your attorney
can sign this form.
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Petitioner who is not
represented by an attorney (pro se):
I
hereby confirm that
I
am not represented by an attorney in this matter, and am either: (1)
the petitioner; or (2) a person or person(s) with legal authority to
bind the petitioner; and
If
I had previously been represented by an attorney in this matter,
either I revoked their power of attorney by filing a signed
revocation with the USPTO or the USPTO has granted this attorney's
withdrawal request.
ADVISORY: Click
the above first button only if you are the
petitioner or legally authorized to bind the petitioner, such as an
officer of the petitioner corporation or association, or a general
partner of the petitioner partnership.
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Authorized U.S.-Licensed
Attorney:
I
hereby confirm that
I
am a U.S.-licensed attorney who is an active member in good standing
of the bar of the highest court of a U.S. state (including the
District of Columbia and any U.S. Commonwealth or territory);
I am
currently the trademark petitioner's attorney or
an associate thereof;
and
To the
best of my knowledge, if prior to my appointment another
U.S.-licensed attorney not currently associated with my
company/firm previously represented the
petitioner in this matter:
the
petitioner has revoked their power of attorney by filing a signed
revocation or substitute power of attorney with the USPTO;
the
USPTO has granted that attorney's withdrawal request;
the
petitioner has filed a power of attorney appointing me in this
matter; or
the
petitioner's appointed U.S.-licensed attorney has filed a power of
attorney appointing me as an associate attorney in this matter.
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Authorized Canadian
Trademark Attorney/Agent:
I
hereby confirm that
An
authorized U.S.-licensed attorney has been appointed to represent the
petitioner;
I have
been granted reciprocal recognition under 37 C.F.R. §11.14(c)(1)
by the USPTO's Office of Enrollment and Discipline; and
I
am an authorized signatory based on 37 C.F.R. §11.14(c)(2).
ADVISORY: Foreign
attorneys (other than authorized Canadian attorneys/agents) may not
sign this form and are prohibited from representing trademark
petitioners/owners/holders before the USPTO in trademark matters.
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* Signature
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Examples
of acceptable "signatures" include: /john doe/; /jd/; or
/123-4567/.
NOTE: Must
be personally signed by the individual listed in the Signatory's Name
field. 37
C.F.R. §2.193(a). The
person signing may not enter someone else's signature.
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* Date
Signed
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(MM/DD/YYYY)
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* Signatory's
Name
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* Signatory's
Position
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Enter
appropriate title or nature of relationship to the owner/holder.
If
the signer is
- An individual
owner/holder, enter "Owner"
or "Holder" as appropriate.
- Joint
individual owners/holders, enter
"Owners" or "Holders" as appropriate (all must
sign this form).
- A business
entity authorized signatory,
enter official title; e.g., "President" (if a
corporation),"General Partner" (if a partnership), or
"Principal" (if a limited liability company).
- A
U.S.-licensed attorney,
enter "Attorney of record," and if not specified in the
application or prior communications, specify at least one state bar
admission, e.g., "Attorney of record, New York Bar member."
Also, if the signing attorney is from the same U.S. firm as the
attorney of record, but was not listed in the original filing and is
not otherwise of record, also include law firm name, e.g., Associate
Attorney, Smith, Jones & Davis, Virginia Bar member.
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Signatory's Phone Number
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STEP
1: Review the data in
various formats, by clicking on the phrases under Data. Use the
print function within your browser to print these pages for your
own records.
Note: It
is important that you review this information for accuracy and
completeness now. Corrections after submission may not be
permissible, thereby possibly affecting your legal
rights.
Note: If
you are using the e-signature approach or the handwritten
pen-and-ink signature approach, you must click on the final link
to access the specific "text form" for that purpose.
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STEP
2: If any of the information
is incorrect, click on the "Go Back to Modify" button,
bottom below, to make changes and then re-validate the form. If no
errors are present and you are ready to file, click on the
Pay/Submit button, which if a fee is required will bring up a
screen for you to enter the appropriate payment information. After
successful entry of the payment information, you can complete the
submission to the USPTO. Or, use the "Save Form" button
to save your form.
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STEP
3: If there are no errors
and you are ready to file, confirm the Primary
Email Address for Correspondence,
displayed below. To make changes to this email address, use the
navigation buttons below to return to the appropriate page in the
form and update either the attorney's email address, if appointed,
or the applicant owner's/holder's email address. Courtesy
copies are also permitted
and these email address(es) are displayed below. To update these
addresses, use the navigation buttons below to return to the
Correspondence Information page and enter the changes.
After
you submit the form, the USPTO will send an acknowledgment of
receipt to the following email address(es):
Primary Email
Address for Correspondence
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Secondary Email
Address(es) (Courtesy Copies)
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STEP
4: Read and check the
following:
Important
Notice:
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Please note
that:
(1) If a fee was required, once you submit this
form, we will not refund the fee, because it is a
processing fee for our substantive review.
(2) All
information you submit to the USPTO at any point in the
application and/or registration process will become public
record, including your name, phone number, email address,
and street address. By filing this document, you
acknowledge and agree that YOU HAVE NO RIGHT TO
CONFIDENTIALITY in the information disclosed. The
public will be able to view this information in the USPTO's
on-line databases and through internet search engines and
other on-line databases. This information will remain
public even if the application is abandoned or any
registration is surrendered, cancelled, or expired. To
maintain confidentiality of banking or credit card
information, only enter payment information in the secure
portion of the site after validating your form. For any
information that may be subject to copyright protection, by
submitting it to the USPTO, the filer is representing that
he or she has the authority to grant, and is granting, the
USPTO permission to make the information available in its
on-line database and in copies of the application or
registration record.
(3) Private
companies not associated with the USPTO
often use trademark application and registration
information from the USPTO's databases to mail
or email trademark-related solicitations (samples
of non-USPTO solicitations included).
If
you have read and understand the above notice, please check
the box before you click on the Pay/Submit button.
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STEP
5: To save the form data,
first enter the email address to be used for this specific
purpose:
Email
for save form function:
(required
if using Save Form)
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Please re-enter
your email address(es) here:
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Email
for save form function:
(required
if using Save Form)
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Then,
click on the "Save Form" button at the bottom of this
page for delivery of an email to the address listed above. To
begin the filing process with saved data, click the "Restore"
link that you will see within the delivered email.
WARNING: The
saved form will reside on the USPTO Server,
but
only for two (2) weeks.
After that point, you will not be able to re-access any saved
form, and must begin a new form.
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STEP
6: If you are ready to file
electronically:
Click on the Pay/Submit button, below, to
access the site where you will select one of three possible
payment methods. After successful entry of payment information,
you can complete the submission to the USPTO. A valid transaction
will result in a screen that says SUCCESS! Also,
we will send an email acknowledgment within 24
hours.
WARNING: Click
on the Pay/Submit button below ONLY if
you are now entirely prepared to complete the Pay/Submit process.
After clicking the button, you can NOT return
to the form, since you will have left the TEAS site entirely. Once
in the separate payment site, you must complete the Pay/Submit
process within 30 minutes. If you are not prepared to complete the
process now, you should select the "Save Form" option to
save your form, and then complete the Pay/Submit process later.
Or, if you have discovered any error, use the "Go Back to
Modify" button to make a correction.
WARNING: You
can NOT make
any fee payments by credit
card from 2 a.m. to 6 a.m.
Sunday, Eastern Time. To file during this specific period,
you must use
either the deposit account or electronic funds transfer payment
method; or, you may use the "Save Form" option to save
your form, and then complete the Pay/Submit process at a later
time with the credit card payment option.
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Paperwork
Reduction Act Statement
A Federal
agency may not conduct or sponsor, and a person is not required to
respond to, nor shall a person be subject to a penalty for failure to
comply with an information collection subject to the requirements of
the Paperwork Reduction Act of 1995, unless the information
collection has a valid OMB Control Number. The OMB Control Number for
this information collection is 0651-0051. Public burden for this form
is estimated to average 75 minutes per response, including the time
for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and
reviewing the information collection. Send comments regarding this
burden estimate or any other aspect of this information collection,
including suggestions for reducing this burden to the Office of the
Chief Administrative Officer, United States Patent and Trademark
Office, P.O. Box 1450, Alexandria, VA 22313-1450 or email
[email protected].
Privacy
Act Statement
The
United States Patent and Trademark Office (USPTO) collects this
information under authority of 5 CFR 339.205. The information in this
system of records is used to manage name, citizenship, domicile,
email address, postal address, and telephone number of the trademark
applicant, registrant, and applicant’s or registrant’s
legal or other authorized representative(s), an attorney’s law
firm or company affiliation and professional licensing information,
and other information pertaining to an applicant’s or
registrant’s activities in connection with the applied-for or
registered mark. Other records mange in this system include trademark
applications, applicant and registrant declarations, office actions,
registration certificates, and correspondence generated in the course
of the prosecution of a trademark application or maintenance of a
trademark registration. The information you provide is protected from
disclosure to third parties in accordance with the Privacy Act.
However, routine uses of this information may include disclosure to
the following: public; foreign entity, professional organizations or
associations, audit or oversight; governments, law enforcement and
investigation; non-federal personnel; record informational inquiries;
data breach notification; data
breach assistance; adjudication and
litigation; department of justice litigation;
freedom of information act assistance from department of justice;
office of personnel management; congressional
inquiries; the National Archives and Records Administration; and
office of management and budget. Disclosure of the information by you
is voluntary; however, failure to provide any part of the requested
information may result in our inability to enroll you in the program.
The applicable Privacy Act System of Records Notice for this
information request is COMMERCE/USPTO-26, Trademarks Application and
Registration Records: Federal Register vol. 85 February 18, 2020, p
8847, available at
https://www.govinfo.gov/content/pkg/FR-2020-02-18/pdf/2020-03068.pdf
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of Form
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Smalls, Jonya |
File Modified | 0000-00-00 |
File Created | 2022-08-21 |