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Affidavit-Swearing Back Of Reference (Prior Invention)
AFFIDAVIT-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]
Group: [Group]
For: [Invention]
To the Honorable Commissioner of Patents and Trademarks:
AFFIDAVIT UNDER 37 CODE OF FEDERAL REGULATIONS SECTION 1.131
AFFIDAVIT OF [Name of applicant]
State of [State of inventor]
County of [County of inventor]
I, [Name of applicant], am the inventor of [Description of the Invention]. I filed the above application on [Date filed]. While working on the invention, I made models and drawings of it and kept records of my progress. These models, drawings and records were first disclosed to others on [Date first disclosed]. Attached you will find copies of these drawings, models and records. The invention was completed 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. Finally, I have never abandoned this invention.
Full name of inventor: [Name of applicant]
Citizenship: [Citizenship of applicant]
Post Office Address: [Post Office Address of applicant]
Signature Date