PATENT COOPERATION TREATY From the RECEIVING OFFICE PCT To: INVITATION TO PAY PRESCRIBED FEES TOGETHER WITH LATE PAYMENT FEE (PCT Rule 16bis and Administrative Instructions, Section 707) Date of mailing (day/month/year) Applicant’s or agent’s file reference PAYMENT DUE International application No. International filing date/Date of receipt (day/month/year) within ONE MONTH from the above date of mailing Applicant 1. This receiving Office has found that the prescribed fees (i.e., transmittal fee, search fee and international filing fee) have not been paid (in full), within one month from the date of receipt of the international application (Rules 14, 15 and 16). See below for details of the calculation. 2. The applicant is hereby invited, within the time limit indicated above, to pay the following total amount (see the Annex for details): _____________________________ + ______________________________ Total unpaid fees Late payment fee 3. = ______________________________ Total amount due Failure to pay the total amount due within the time limit indicated above may result in the international application being considered withdrawn by this receiving Office. The applicant's attention is drawn to Rules 16bis.1(c) and 29. 4. Additional observations (if any): the amount of ________________________ was received by this receiving Office after the expiration of the applicable time limit; the total amount due indicated above is correspondingly reduced other observations: A copy of this Invitation is being sent to the International Bureau. Name and mailing address of the receiving Office Authorized officer Facsimile No. Telephone No. Form PCT/RO/133 (July 2009) American LegalNet, Inc. www.FormsWorkFlow.com ANNEX TO FORM PCT/RO/133 CALCULATION OF THE PRESCRIBED FEES T International application No. Transmittal Fee Prescribed amount: . . . . . . . . . . . . . . . . . . . . . T Amount paid: . . . . . . . . . . . . . . . . . . . . . . . – Balance: . . . . . . . . . . . . . . . . . . . . . . . . . = S _______________ _______________ correct amount overpayment balance due Search Fee Prescribed amount: . . . . . . . . . . . . . . . . . . . . . S Amount paid: . . . . . . . . . . . . . . . . . . . . . . . – Balance: . . . . . . . . . . . . . . . . . . . . . . . . . = _______________ _______________ correct amount overpayment balance due I International Filing Fee Fixed amount for first 30 sheets: . . . . . . . i _____________ 1 ______________ ____________ i 2 Number of sheets in excess of 30 (excluding pages referred to in Section 707(a-bis)) x ________________ = Fee per sheet Reduction where the international application is filed (See PCT Applicant’s Guide, International Phase for details on the availability of this reduction): on paper together with a copy in electronic form, in character coded format, of the request and the abstract . . . . . . . . . . . – or in electronic form, the request not being in character coded format . . . . . . . . . – or in electronic form, the request being in character coded format . . . . . . . . . . . . . – r r r or in electronic form, the request, description, claims and abstract being in character coded format . . . . . . . . . . . . . . – r Sub-total: . . . . . . . . . . . . . . . . . = Applicants from certain States are entitled to a reduction of 90% of the international filing fee. Where the applicant is (or all applicants are) so entitled, the total to be entered at I is 10% of the sub-total entered at (i1+i2-r); (see Notes to the Fee Calculation Sheet as annexed to the Request Form, PCT/RO/101, for details): . . . . . . . . . . . . . = Amount paid: . . . . . . . . . . . . . . . . . . . . . . . – Balance: . . . . . . . . . . . . . . . . . . . . . . . . . = i1+i2-r I correct amount overpayment balance due Late Payment Fee The amount of the late payment fee corresponds to: 50% of total unpaid fees the transmittal fee (minimum amount of the late payment fee) 50% of the international filing fee, not taking into account any fee for each sheet of the international application in excess of 30 sheets (maximum amount of the late payment fee) Form PCT/RO/133 (Annex) (July 2009) American LegalNet, Inc. www.FormsWorkFlow.com