POWER OF
ATTORNEY DESIGNATION
PATENT
AND ADDRESS CHANGE
IN 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:
Please
make the following change to the above patent which was granted to _______________________________
(Name of Inventor) on the date noted above:
(Check the Item Which Applies and Fill in the Appropriate Information)
o
Change the address of the attorney(s) of record to:
______________________________________________________________________
o
Change the correspondence address of the patent owner to:
______________________________________________________________________
o
Add a power of attorney to, and address any future correspondence to,
the following person whom I appoint to handle all business pertaining to the
above patent in the Patent and Trademark Office:
______________________________________________________________________
o
I hereby revoke and remove all previous powers of attorney and enter a
power of attorney in favor of the
following person whom I hereby appoint to transact all business pertaining to
the above patent in the Patent and Trademark Office. All future correspondence should be addressed to this person as
well:
______________________________________________________________________
The
person whose signature appears below is certified to have the authority to make
these requested changes in the patent.
_____________________________ ______________
Signature
Date
(After
the Signature, Also State Whether the Person Signing is the Patent Owner or the
Owners Attorney/Agent)
