Transcription of SB/17 Fee Transmittal
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SB/17 Fee Transmittal
PTO/ SB/17 (10-20). Approved for use through 12/31/2020. OMB 0651-0032. Patent and Trademark Office; DEPARTMENT OF COMMERCE. Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number Complete if known FEE Transmittal Application Number Filing Date Applicant asserts small entity status. See 37 CFR First Named Inventor Applicant certifies micro entity status. See 37 CFR Examiner Name Form PTO/SB/15A or B or equivalent must either be enclosed or have been submitted previously. Art Unit TOTAL AMOUNT OF PAYMENT ($) Practitioner Docket No. METHOD OF PAYMENT (check all that apply). Check Credit Card Money Order None Other (please identify): _____. Deposit Account Deposit Account Number: _____ Deposit Account Name: _____. For the above-identified deposit account, the Director is hereby authorized to (check all that apply): Charge fee(s) indicated below Charge fee(s) indicated below, except for the filing fee Charge any additional fee(s) or underpayment of fee(s) Credit any overpayment of fee(s).
(U = undiscounted fee; S = small entity fee; M = micro $ for o PTO/SB/17 (10-20) Approved for use through 12/31/2020 OMB 0651-0032 ... 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
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