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Declaration--Swearing Back Of Reference (Prior Invention)
DECLARATION--SWEARING BACK OF REFERENCE-PRIOR INVENTION
IN THE UNITED STATES PATENT AND TRADEMARK OFFICE
In re application of: [Name of Applicant]
Serial No.: [Serial number]
Examiner: [Name of Examiner]
Filed: [Date filed]
Group: [Group]
For: [Name of Invention]
To the Honorable Commissioner of Patents and Trademarks, Washington, D.C. 20231:
DECLARATION UNDER 37 CODE OF FEDERAL REGULATIONS SECTION 1.131
DECLARATION OF [Name of Applicant]
I, [Name of Applicant], am the inventor of [Description the Invention]. I filed the above application on [Date of application]. While working on the invention, I made models and drawings and kept records of my progress. These models, drawings, and records were first disclosed to others on [Date record were disclosed] and copies of these have been attached hereto. The invention was completed by me on [Date invention was completed]. To the best of my knowledge and belief, this invention was not sold or in public use in the United States for one year prior to the date of the above application nor was it patented or described in a printed publication prior to that time. Furthermore, I have never abandoned this invention.
Finally, 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.
Full name of inventor: [Name of inventor]
Citizenship: [Citizenship]
Post Office Address: [Post Office Address]
Signature Date