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Back to Forms for 'Patents'.




Considering ________________ ($_________) and other valuable goods, received from _________________________________________________ (name of licensee), of ___________________________________________________________ (address), has been acknowledged, I, ______________________________ (name of assignor), of _____________________________________________________________ (address), hereby grant to _________________________________________________ (licensee) ________________ (exclusive/nonexclusive) license to _________________________ (make, use and sell) ________________________ (subject of patent), letters patent of the United States numbered, dated, and entitled, as follows:  _____________________. 


This license shall be executed by __________________________________________ (licensee) _____________________________ (throughout the United States and its territories, possessions, and dependencies) and will terminate on ____________.  

_________________________                    _____________________

Signature                                                        Date


_________________________                    _____________________

Signature                                                        Date




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