PTO/SB/81 Patent – Power of Attorney or Revocation of Power of Att

PTO/SB/81 (01-09)

Approved for use through XX/XX/XXXX. OMB Control Number 0651-0035
U.S. Patent and Trademark Office; Department of Commerce

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POWER OF ATTORNEY
OR
REVOCATION OF POWER OF ATTORNEY
WITH A NEW POWER OF ATTORNEY
AND
C HANGE OF CORRESPONDENCE ADDRESS

Application Number
Filing Date
First Named Inventor

Examiner Name
Attorney Docket Number

I hereby revoke all previous powers of attorney given in the above-identified application.
A Power of Attorney is submitted herewith.
OR
I hereby appoint Practitioner(s) associated with the following Customer
Number as my/our attorney(s) or agent(s) to prosecute the application
identified above, and to transact all business in the United States Patent
and Trademark Office connected therewith:
OR
I hereby appoint Practitioner(s) named below as my/our attorney(s) or agent(s) to prosecute the application identified above, and
to transact all business in the United States Patent and Trademark Office connected therewith:
Practitioner(s) Name

Registration Number

Please recognize or change the correspondence address for the above-identified application to:
The address associated with the above-mentioned Customer Number.
OR
The address associated with Customer Number:
OR
Firm or
Individual Name
Address
City

State

Zip

Country
Telephone

Email

I am the:
Applicant/Inventor.
OR
Assignee of record of the entire interest. See 37 CFR 3.71.
Statement under 37 CFR 3.73(b) (Form PTO/SB/96) submitted herewith or filed on

.

SIGNATURE of Applicant or Assignee of Record
Signature

Date

Name

Telephone

Title and Company
NOTE: Signatures of all the inventors or assignees of record of the entire interest or their representative(s) are required. Submit multiple forms if more than one
signature is required, see below*.

*Total of ___________ forms are submitted.
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individual case. Any comments on the amount of time you require to complete this form and/or suggestions for reducing this burden, should be sent to the Office of
the Chief Administrative Officer, U.S. Patent and Trademark Office, P.O. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED
FORMS TO THIS ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.

If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2.

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Notice for this information is COMMERCE/PAT-TM-7 Patent Application Files, available at Federal Register /Vol. 78,
No. 61 / Friday, March 29, 2013 /Notices 19243. https://www.govinfo.gov/content/pkg/FR-2013-03-29/
pdf/2013-07341.pdf