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Change Of Correspondence Address Patent Form. This is a Official Federal Forms form and can be use in Patent US Patent Office.
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Tags: Change Of Correspondence Address Patent, PTO-AIA-123, Official Federal Forms US Patent Office, Patent
PTO/$,$/123 (11-08)
Approved for use through 11/30/201. OMB 0651-0035
U.S. Patent and Trademark Office; U.S. 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.
Patent Number
CHANGE OF
CORRESPONDENCE ADDRESS
Patent
Address to:
Mail Stop Post Issue
Commissioner for Patents
P.O. Box 1450
Alexandria, VA 22313-1450
Issue Date
Application Number
Filing Date
First Named Inventor
Attorney Docket
Number
Please change the Correspondence Address for the above-identified patent to:
The address associated with Customer Number:
OR
Firm or
Individual Name
Address
City
State
ZIP
Country
Email
Telephone
This form cannot be used to change the data associated with a Customer Number. To change the data associated with an
existing Customer Number use "Request for Customer Number Data Change" (PTO/SB/124).
This form will not affect any "fee address" provided for the above-identified patent. To change a "fee address" use the "Fee
Address Indication Form" (PTO/SB/47).
I am the:
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DGGUHVV RI UHFRUG 1RWLFH KDV EHHQ JLYHQ WR WKH SDWHQWHH RU RZQHU Registration Number ____________________.
Signature
Typed or
Printed Name
Date
Telephone
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6XEPLW PXOWLSOH IRUPV if more than one signature is required, see below*.
*Total of ____________ forms are submitted.
This collection of information is required by 37 CFR 1.33. The information is required to obtain or retain a benefit by the public which is to file (and by the USPTO
to process) an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.11 and 1.14. This collection is estimated to take 3 minutes to complete,
including gathering, preparing, and submitting the completed application form to the USPTO. Time will vary depending upon the 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 Chief Information Officer, U.S. Patent and
Trademark Office, U.S. Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO THIS
ADDRESS. SEND TO: Mail Stop Post Issue, 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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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,
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