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Petition To Revive Abandoned Application (Type 1)
PETITION TO REVIVE ABANDONED APPLICATION-TYPE 1
Applicant: [Name of Applicant]
Serial No.: [Serial Number]
Filed: [Date Filed]
For: [Invention]
[Petition to revive/Petition to accept delayed payment of issue fee]
It is hereby certified that the attached communication is being deposited in the United States mail as first class mail or, if applicable, the mail outside the United States as air mail, in an envelope addressed to:
Commissioner of Patents and Trademarks
Washington, D.C. 20231
on [Date Mailed]. This date is more than 3 days before the due date. The communication is being sent from [Location of Mailing] by [Name of Applicant].
If this communication is not filed on time in the U.S. Patent and Trademark Office, I hereby request that the communication by treated as a petition. In such case, I request that the delay in prosecuting the application be held to be unavoidable or, if applicable, that the delayed payment of the fee be accepted.
I hereby authorize the petition fee to be charged to account number which is in the name of [Name of account holder].
Furthermore, to the best of my knowledge and belief, all statements made herein are true and were made with the knowledge that willful false statements are unlawful and punishable by fine or imprisonment, or both.
Signature of Applicant Date
If person mailing communication is other than Applicant:
Signature of Person Mailing Communication Date