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Reissue Application-Inventor Deceased



REISSUE APPLICATION-INVENTOR DECEASED

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:

As the applicant of the attached reissue application covering the letters patent for the improvement in [Subject of Invention] which was granted to [Name of Patent Holder], now deceased, on [Date granted], I hereby offer to surrender that letters patent. I am the assignee of the entire interest in the letters patent and you will find an abstract of my title attached hereto.



Signature Date