POWER OF
ATTORNEY
ADMINISTRATOR/EXECUTOR
1IN THE UNITED
STATES PATENT AND TRADEMARK OFFICE
In
re patent of:
___________________________________________________ (Name)
Patent
No.: _____________________________
Issued
on: ______________________________
(Date)
For:
____________________________________________________________ (Item)
To
the Commissioner of Patents and Trademarks:
I,
______________________________________ (Name), as _____________________ (Administrator
of the Estate or Executor of the last Will) of ______________________
(Deceased’s Name), who was a resident of __________________________________
(Give Complete Address), hereby appoint _______________________________ (Give
Name, Full Address, and Phone Number) as my attorney and/or agent with full
power of substitution, association, and revocation for the purpose of
prosecuting Application Number:
__________________________ and for conducting all business in the Patent
and Trademark Office in connection therewith.
All
telephone calls and all correspondence should be addressed to the above named
attorney and/or agent as follows:
_______________________________________________________________
(Name)
_____________________________________________________
(Telephone Number)
_____________________________________________________
(Complete Address)
___________________________________ ___________________
Signature Date
