PATENT COOPERATION TREATY From the RECEIVING OFFICE PCT To: NOTIFICATION CONCERNING PAYMENT OF PRESCRIBED FEES (PCT Rules 12bis.1(c), 14, 15 and 16 and Administrative Instructions, Sections 102bis(c), 304, 323(b) and 707) Date of mailing (day/month/year) PAYMENT DUE Applicant’s or agent’s file reference see item 3 for time limits International application No. International filing date/Date of receipt (day/month/year) Priority date (day/month/year) Applicant 1. The applicant is hereby notified that this receiving Office has received: the payment of all the prescribed fees, and an overpayment, which will be refunded in due course. no or insufficient payment of the prescribed fees and the applicant is hereby invited to pay the balance due, as summarized under item 2, within the time limit(s) indicated under item 3. 2. Fees and payment calculation: ___________________________ Total fees payable – ___________________________ Amount paid = __________________________ Balance The details of the calculation are given in the Annex. 3. Time limit(s) for payment and amount(s) payable (Rules 14.1, 15.4 and 16.1(f)): within ONE MONTH from the date of receipt of the international application (for the transmittal fee (if any), the search fee and the international filing fee). The amount payable for each fee is the amount applicable on the date of receipt of the international application. within 16 MONTHS from the priority date (only for the fee for priority document). The applicant’s attention is drawn to the fact that the request made by the applicant under Rule 17.1(b) will be considered not to have been made unless the fee is paid within that time limit. 4. Additional observations (if necessary): The search copy will not be transmitted to the International Searching Authority until the search fee is paid (therefore the start of the international search will be delayed) (Rule 23.1(a) and (b)). Name and mailing address of the receiving Office Authorized officer Facsimile No. Telephone No. Form PCT/RO/102 (July 2009) American LegalNet, Inc. www.FormsWorkFlow.com ANNEX TO FORM PCT/RO/102 CALCULATION OF THE PRESCRIBED FEES T International application No. Transmittal Fee Prescribed amount: . . . . . . . . . . . . . . . . . . . . . T Amount paid: . . . . . . . . . . . . . . . . . . . . . . . – Balance: . . . . . . . . . . . . . . . . . . . . . . . . . . = S _______________ _______________ balance due S Amount paid: . . . . . . . . . . . . . . . . . . . . . . . – Balance: . . . . . . . . . . . . . . . . . . . . . . . . . . = _______________ _______________ correct amount overpayment balance due 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 . . . . . . . . . . . . – r or in electronic form, the request not being in character coded format . . . . . . . . . – or in electronic form, the request being in character coded format . . . . . . . . . . . . . – or in electronic form, the request, description, claims and abstract being in character coded format . . . . . . . . . . . . . . . . – r r r i1+i2-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): . . . . . . . . . . . . . = I correct amount Amount paid: . . . . . . . . . . . . . . . . . . . . . . . – overpayment Balance: . . . . . . . . . . . . . . . . . . . . . . . . . . = P overpayment Search Fee Prescribed amount: . . . . . . . . . . . . . . . . . . . . . I correct amount balance due Fee for Priority Document P Prescribed amount: . . . . . . . . . . . . . . . . . . . . . Amount paid: . . . . . . . . . . . . . . . . . . . . . correct amount . . – overpayment Balance: . . . . . . . . . . . . . . . . . . . . . . . . . = balance due ES Fee for Earlier Search Documents ES Prescribed amount: . . . . . . . . . . . . . . . . . . . . . . . – Balance: . . . . . . . . . . . . . . . . . . . . . . . . . = Amount paid: . . . . . . . . . . . . . . . . . . . . . correct amount overpayment balance due Form PCT/RO/102 (Annex) (July 2009) American LegalNet, Inc. www.FormsWorkFlow.com