Form PTOL-85B Issue Fee Transmittal

PART B – FEE(S) TRANSMITTAL
Complete and send this form, together with the applicable fee(s), by mail or fax, or via EFS-Web.
By mail, send to:
Mail Stop ISSUE FEE
Commissioner for Patents
P.O. Box 1450
Alexandria, VA 22313-1450

By fax, send to:

(571) 273-2885

INSTRUCTIONS: This form should be used for transmitting the ISSUE FEE and P UBLICATION FEE (if required). Blocks 1 through 5 should be completed where appropriate.
All further correspondence including the P atent, advance orders and notification of maintenance fees will be mailed to the current correspondence address as indicated unless
corrected below or directed otherwise in Block 1, by (a) specifying a new correspondence address; and/or (b) indicating a separate “ FEE ADDRESS” for maintenance fee
notifications.
CURRENT CORRESPONDENCE ADDRESS (Note: Use Block 1 for any change of address)

Note: A certificate of mailing can only be used for domestic mailings of the
Fee(s) Transmittal. This certificate cannot be used for any other accompanying
papers. Each additional paper, such as an assignment or formal drawing, must
have its own certificate of mailing or transmission.
Certif icate of Mailing or Transmission
I hereby certify that this Fee(s) Transmittal is being deposited with the United
States P ostal Service with sufficient postage for first class mail in an envelope
addressed to the Mail Stop ISSUE FEE address above, or being transmitted to the
USP TO via EFS-Web or by facsimile to (571) 273-2885, on the date below.
(Typed or printed name)
(Signature)
(Date)

APPLICATION NO

FILING DATE

FIRST NAMED INVENTOR

ATTORNEY DOCKET NO

CONFIRMATION NO

TITLE OF INVENTION:
APPLN. TYPE

ENTITY STATUS

ISSUE FEE DUE

EXAMINER

PREV. PAID ISSUE FEE

ART UNIT

1. Change of correspondence address or indication of “ Fee
Address” (37 CFR 1.363)

TOTAL FEE(S) DUE

DATE DUE

CLASS-SUBCLASS

2. For printing on the patent front page, list

Change of correspondence address (or Change of
Correspondence Address form P TO/SB/122) attached.
“ Fee Address” indication (or “ Fee Address” Indication
form P TO/SB/47; Rev 03-09 or more recent)
attached. Use of a Customer Number is required.
3.

PUBLICATION FEE DUE

(1) The names of up to 3 registered patent attorneyss
or agents OR, alternatively,

1.

(2) The name of a single firm (having as a member
a registered attorney or agent) and the names of
up to 2 registered patent attorneys or agents. If
no name is listed, no name will be printed.

2.
3.

ASSIGNEE NAME AND RESIDENCE DATA TO BE P RINTED ON THE P ATENT (print or type)
P LEASE NOTE: Unless an assignee is identified below, no assignee data will appear on the patent. If an assignee is identified below, the document must have been
previously recorded, or filed for recordation, as set forth in 37 CFR 3.11 and 37 CFR 3.81(a). Completion of this form is NOT a substitute for filing an assignment.
(A) NAME OF ASSIGNEE

(B) RESIDENCE: (CITY and STATE or COUNTRY)

P lease check the appropriate assignee category or categories (will not be printed on the patent):
4a. Fees Submitted:

Issue Fee

P ublication Fee (if required)

Individual

Corporation or other private group entity

Government

Advance Order - # of Copies __________

4b. Method of P ayment (Please first reapply any previously paid fee shown above):
Electronic P ayment via EFS-Web
Enclosed check
Non-electronic payment by credit card (Attach form P TO-2038)
The Director is hereby authorized to charge the required fee(s), any deficiency, or credit any overpayment to Deposit Account No. __________
5. Change of Entity Status (from status indicated above)
Applicant certifying micro entity status. See 37 CFR 1.29.

NOTE: Absent a valid Certification of Micro Entity Status (see forms P TO/SB/15A and 15B), issue fee
payment in the micro entity amount will not be accepted at the risk of application abandonment.

Applicant asserting small entity status. See 37 CFR 1.27.

NOTE: If the application was previously under micro entity status, checking this box will be taken as
a notification of loss of entitlement to micro entity status.

Applicant changing to regular undiscounted fee status.

NOTE: Checking this box will be taken as a notification of loss of entitlement to small or micro entity
status, as applicable.

NOTE: This form must be signed in accordance with 37 CFR 1.31 and 1.33. See 37 CFR 1.4 for signature requirements and certifications.
Authorized Signature

Date

Typed or printed name

Registration No.

P TOL-85 Part B (08-18) Approved for use through XX/XX/XXXX

OMB 0651-0033

U.S. P atent and Trademark Office; U.S. DEP ARTMENT OF COMMERCE

PRA Burden 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 0651-0033. Public burden for this form is estimated to
average 46 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]. DO NOT SEND FEES OR
COMPLETED FORMS TO THIS ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.

Privacy Act Statement
The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in connection with your submission of the attached form
related to a patent application or patent. Accordingly, pursuant to the requirements of the Act, please be advised that: (1) the general authority for the
collection of this information is 35 U.S.C. 2(b)(2); (2) furnishing of the information solicited is voluntary; and (3) the principal purpose for which
the information is used by the U.S. Patent and Trademark Office is to process and/or examine your submission related to a patent application or
patent. If you do not furnish the requested information, the U.S. Patent and Trademark Office may not be able to process and/or examine your
submission, which may result in termination of proceedings or abandonment of the application or expiration of the patent.
The information provided by you in this form will be subject to the following routine uses:
1. The information on this form will be treated confidentially to the extent allowed under the Freedom of Information Act (5 U.S.C. 552) and the
Privacy Act (5 U.S.C 552a). Records from this system of records may be disclosed to the Department of Justice to determine whether
disclosure of these records is required by the Freedom of Information Act.
2. A record from this system of records may be disclosed, as a routine use, in the course of presenting evidence to a court, magistrate, or
administrative tribunal, including disclosures to opposing counsel in the course of settlement negotiations.
3. A record in this system of records may be disclosed, as a routine use, to a Member of Congress submitting a request involving an individual, to
whom the record pertains, when the individual has requested assistance from the Member with respect to the subject matter of the record.
4. A record in this system of records may be disclosed, as a routine use, to a contractor of the Agency having need for the information in order to
perform a contract. Recipients of information shall be required to comply with the requirements of the Privacy Act of 1974, as amended,
pursuant to 5 U.S.C. 552a(m).
5. A record related to an International Application filed under the Patent Cooperation Treaty in this system of records may be disclosed, as a
routine use, to the International Bureau of the World Intellectual Property Organization, pursuant to the Patent Cooperation Treaty.
6. A record in this system of records may be disclosed, as a routine use, to another federal agency for purposes of National Security review (35
U.S.C. 181) and for review pursuant to the Atomic Energy Act (42 U.S.C. 218(c)).
7. A record from this system of records may be disclosed, as a routine use, to the Administrator, General Services, or his/her designee, during an
inspection of records conducted by GSA as part of that agency’s responsibility to recommend improvements in records management practices
and programs, under authority of 44 U.S.C. 2904 and 2906. Such disclosure shall be made in accordance with the GSA regulations governing
inspection of records for this purpose, and any other relevant (i.e., GSA or Commerce) directive. Such disclosure shall not be used to make
determinations about individuals.
8. A record from this system of records may be disclosed, as a routine use, to the public after either publication of the application pursuant to 35
U.S.C. 122(b) or issuance of a patent pursuant to 35 U.S.C. 151. Further, a record may be disclosed, subject to the limitations of 37 CFR 1.14,
as a routine use, to the public if the record was filed in an application which became abandoned or in which the proceedings were terminated
and which application is referenced by either a published application, an application open to public inspection or an issued patent.
9. A record from this system of records may be disclosed, as a routine use, to a Federal, State, or local law enforcement agency, if the USPTO
becomes aware of a violation or potential violation of law or regulation.