Doc code: WFEE.APPEAL Doc Description: Certification and Transmittal of Appeal Forwarding Fee PTO/AIA/34 (0614) Docket Number (Optional) CERTIFICATION AND TRANSMITTAL OF APPEAL FORWARDING FEE I hereby certify that this correspondence is being facsimile transmitted to the USPTO, EFSWeb transmitted to the USPTO, or deposited with the United States Postal Service with sufficient postage in an envelope addressed to "Commissioner for Patents, P.O. Box 1450, Alexandria, VA 223131450" [37 CFR 1.8(a)] on ______________________________________________________. Signature _________________________________________________ Typed or printed name ______________________________________ 37 CFR 41.45 specifies that, in order to avoid dismissal of the appeal, appellant must pay the fee set in 37 CFR 41.20(b)(4) within two months of the later of the date of either the examiner's answer, or a decision refusing to grant a petition under 37 CFR 1.181 to designate a new ground of rejection in an examiner's answer. The undersigned certifies that the appropriate fee accompanies this transmittal. The fee for forwarding this appeal is (37 CFR 41.20(b)(4)) $ _____________________ Appellant asserts small entity status. See 37 CFR 1.27. Therefore, the fee shown above is reduced by 50%, and the resulting fee is: $ _____________________ Appellant certifies micro entity status. See 37 CFR 1.29. Therefore, the fee shown above is reduced by 75%, and the resulting fee is: $ _____________________ Form PTO/SB/15A or B or equivalent must either be enclosed or have been submitted previously. A check in the amount of the fee is enclosed. Payment by credit card. Form PTO2038 is attached. The Director is hereby authorized to charge any fees which may be required, or credit any overpayment to Deposit Account No. ______________________. Payment made via EFSWeb. Extensions of time under 37 CFR 1.136(a) for patent applications are not applicable to the time period set forth in 37 CFR 41.45. See 37 CFR 1.136(b) for extensions of time to reply for patent applications and 37 CFR 1.550(c) for extensions of time to reply for ex parte reexamination proceedings. WARNING: Information on this form may become public. Credit card information should not be included on this form. Provide credit card information and authorization on PTO2038. I am the appellant attorney or agent of record attorney or agent acting under 37 CFR 1.34 Registration number __________________ Registration number __________________ Signature __________________________________________________________________________________________________________ Typed or printed name _______________________________________________________________________________________________ Telephone Number __________________________________________________________________________________________________ Date ______________________________________________________________________________________________________________ NOTE: This form must be signed in accordance with 37 CFR 1.33. See 37 CFR 1.4 for signature requirements and certifications. Submit multiple forms if more than one signature is required, see below*. * Total of _____________ forms are submitted. If you need assistance in completing the form, call 1800PTO9199 and select option 2. In re Application of Application Number For Art Unit Examiner Filed American LegalNet, Inc. www.FormsWorkFlow.com 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. 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. 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. 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). 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. 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)). 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 t