Fill and Sign the Assignment Patent Form

Contract for Assignment of Patent Rights Agreement made on the ________________________ (date) , between ________________________ (Name of Inventor) of _____________________________________________ (street address, city, county, state, zip code) , referred to herein as the Inventor, and ________________________ (Name of Assignee) of _____________________________________________ (street address, city, county, state, zip code) , referred to herein as Assignee ; 1. Assignment of Patent Rights. For value received, Inventor agrees to assign to Assignee, and Assignee agrees to purchase from Inventor, the patent application concerning ________________________ (name of invention), which application was filed on ________________________ (date), Serial Number ____________________ , Patent Number ____________________ , issued on ________________________ (date) concerning ________________________ (name of invention)) , together with all powers and privileges relating to the same. As consideration for the assignment, Assignee agrees to pay $ ________________________ . 2. Execution of Effectual Transfer. Inventor further agrees that _______ (he/she) will, on payment of the purchase price and at the request of Assignee, execute an effectual transfer of the above-described patent rights to Assignee, or to such persons or person as Assignee shall direct. 3. Effective Date of Assignment. The effective date of the Assignment shall be ________________________ (date) . On that date, Assignee will pay the purchase price to Inventor on receipt of an instrument effecting a valid and effectual transfer to Assignee of the patent rights involved in this agreement. Such instrument is to be prepared by and at the expense of inventor. 4. Liquidated Damages. The parties understand that monetary damages for breach of this Agreement would be difficult to compute. Therefore, the parties agree that in the event of default under this Agreement, the defaulting party shall pay to the other party $ ________________________ as liquidated damages. WITNESS our signatures as of the day and date first above stated. ________________________ _________________________ (Signature of Seller) (Signature of Buyer) ________________________ ________________________ (P rinted Name of Seller) (P rinted Name of Buyer )