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Preliminary Statement-Domestic Inventor



PRELIMINARY STATEMENT-DOMESTIC INVENTOR

IN THE UNITED STATES PATENT AND TRADEMARK OFFICE

PRELIMINARY STATEMENT OF

[Plaintiff] v. [Defendant]

Interference No. [Inteference No.]

State of [State of Jurisdiction]
County of [County of Jurisdiction]

[Name of Inventor], being duly sworn, deposes and says that [he or she] is a party to the above interference and that [he or she] made the invention described in the interference. The first drawing of this invention was made on [Date of First Drawing] and a copy of this drawing is attached. The first written description was made on [Date of Written Description] and a copy of this description is also attached. On [Date Disclosed], this invention was first disclosed to others and it was actually reduced to practice on [Date reduced to practice]. The exercise of reasonable diligence toward reducing the invention to practice began on [Date of Exercise of Diligence].



Signature Date

[Attach copies of drawing and written description]