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Disclaimer- Terminal
DISCLAIMER-TERMINAL
IN THE UNITED STATES PATENT AND TRADEMARK OFFICE
In re patent of: [Name of applicant]
Patent No.[patent number]
Issued on: [date]
For: [Item]
To the Honorable Commissioner of Patents and Trademarks:
I, [Name of applicant] from [Address of applicant], represent that I am [State Exact Interest of the Disclaimant Here, I.e. Assignee] of the application filed on [Date] for [Specify Invention], No. [number]. I hereby disclaim all the portion of the term of any patent which may be issued on that application after [Date of disclaim].
Name: [Name of applicant]
Address: [Address of applicant]
Signature Date