Form PTO-2137 Petition to the Director for an International Applicatio

Madrid Protocol

0051 PTO-2137 TM_TEAS_Petition_to_the_Director_for_an_International_Application_Registration

Petition to Director for an International Application/Registration (Individuals or Households)

OMB: 0651-0051

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Petition to the Director for an International Application/Registration
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Privacy Act Statement I TEA S Form Burden Statement I Bug ReP-ort/Feedback I TEAS Home

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Approved for use through XX/XX/XXXX. 0MB 0651-0051

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lh:ler the Paperwork Reduction Act of 199S, no persons are required to respond to a collection cl information unless it contains a valid OMS control number

Petition to the Director for an International Application/Registration
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Trademark Electronic Application System
PTO-2137
App,� for use through XX/XX/XXXX. 0MB 0651-0051
U.S. Patent and Trademark Office; U.S. OEPARTI•1ENT OF COMMERCE
lh:ler the Paperwork Reduction Act of 199S, no persons are required to respond to a collection cl information unless it contains a valid OMS control number

Petition to the Director for an International Application/Registration
• TeX1 Entry/File Upload
NOTE: FOf additional information on how to use the free-text entry bo x, click here.
Special Form Instructions: You must provide the following as part of this submission: (1) a statement of the relevant fa-cts (and if the fads 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 app ropriate.
Thi s form can be used for the following the reasons:
1. Request that the USPTO forward to the International Bureau a request to record an assignment (MMS) or security interest (MM19).
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2. Request a correct on of USPTO error or 1B error. Example, a faulty notificat on was transmitted by the USPTO to the 1B or the USPTO received a faulty notification from the 1B.
3. Request relief ,elated to an international application filing or subsequent designation. Example, correcting the listing of designated office or withdrawing an international application.

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Jing an International Application Based on Single Application or Registration

7.6(a)(2) Certif>Jing an International Application Based on More than One Basic Application or Registration
Application for Registration Fee

Allegation of Use Fee

Per

Per Transmittal:
Per Class:

Per Class:

Number of Classes:

Nurnber of Classes:

Extension Request Fee

Number of Classes:

Application for Renewal Fee

Nurnber of Classes:

Correcting a Deficiency in a Renewal Application Fee

Per Application:

Additional Fee for Filing Section 8 Affidavit During Grace Period

Nurnber of Classes:

Section 15 Affidavit Fee

Nurnber of Classes:

Divisional Request fee, Per New Application (file Wrapper) Created

Number of New Applications:

Additional Fee for Filling Renewal Application During Grace Period

Number of Classes:

Section 8 Affidavit Fee

Number of Classes:

Correcting a Deficiency in a Section 8 Affidavit fee

Per Application:

Publication of Mark Under Section 12(c) fee

Number of Classes:

Issuing Ne\tV Certificate of Registration Fee

Per Application:

Filing Disclaimer to Registration Fee

Per Application:

Certificate of Correction fee, Registrant's Error

Per Application:

Filing Amendment to Registration Fee

Per Application:

Number of Classes:

Petition for Cancellation Fee
Notice of Opposition Fee

Nurnber of Classes:

Ex Parte Appeal Fee

Additional Processing Fee for Each Payment Refused or Charged Back
i

Filing a Request for an Extension of Time to File a Notice of Oppositon under Section 2.102(c)(3)
i

Filing a Request for an Extension of Time to File a Notice of Oppositon undet �2.102(c)(1)(ii) or (c)(2)

Additional Fees Total

Number of Classes:

Number of Payments Refused or Charged Sack:

Per Application:
Per Application:

@VERALL TOTAL AMOUNT

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Multiplie r Fee
1x

$250

Multiplier Fee

Be
Be
Be
Be
Be

B

Be
Be
Be
B

Be
Be

B

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B
B
B
B

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Total
$250

$250
Total

$100

$0

$150

$0

$100
$350

$100

1

$125
$100

$300

$100

$100

$225
$100

$100

$200
$100

$100

$100

$100

$100

$600
$600

$225
$50

$200

$400

$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0

$0

$250

Privacy Act Statement I TEAS Form Burden Statement I Bug,_&port/Feedback I TEAS Home

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Trademark Electronic Application System
PTO-2137

App,� for use through XX/XX/XXXX. 0MB 0651-0051
U.S. Patent and Trademark Office; U.S. OEPARTI•1ENT OF COMMERCE
lh:ler the Paperwork Reduction Act of 199S, no persons are required to respond to a collection cl information unless it contains a valid OMS control number

Petition to the Director for an International Application/Registration
Signature Section

I

To electronically sign this document, enter any alpha/numeric characters(letters/numbers) of your choosing, preceded and follO\ve-d 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/.

DECLARATION SIGNATURE

Click to choose ONE signature method:
@ Sign electronically directly on this form

D

O Email Text Form to second part y for electronic signature O Handwritten pen-and-ink signature

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.

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
knoy,Jfedge 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/hol-ders, The person signing for each section may be different, depending on who has the required knowledge to
sign.

* £gnature

'-�-�-���--���_,

* Date Signed

Exarr,>les cl acceptable •s;gnatu,es" ;ndude: /john do
File Typeapplication/pdf
File Modified2022-04-26
File Created2022-04-20

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