Patent Application Cover Sheet

PATENT APPLICATION COVER SHEET

This Patent Application Cover Sheet (the Cover Sheet) is made and entered into by and between Applicant Name: (Applicant) and Representative/Assignee Name: (Representative) effective as of Filing Date: .

RECITALS

WHEREAS, Applicant is the inventor or assignee of an invention entitled Title of Invention: and seeks to file a patent application for the invention identified herein; and

WHEREAS, Representative is authorized to act on Applicant's behalf with respect to filing, correspondence, and related administrative matters for the patent application described in this Cover Sheet; and

WHEREAS, the parties desire to provide the patent office with the information, certifications, and authorizations required to process the application and to document claimed priorities, entity status, and attachments accompanying the submission.

NOW, THEREFORE, in consideration of the mutual covenants contained herein, the parties agree as follows:

1. APPLICATION INFORMATION

1.1 Application Type: Utility Design Plant

1.2 Preferred Filing Language:    1.3 Application Number (if assigned):

1.4 Filing Date (proposed):    1.5 Provisional Application Claimed: Yes No

2. INVENTORS

2.1 If additional sheets are attached, indicate number of inventor sheets:

3. CORRESPONDENCE AND CONTACT

4. PRIORITY AND FOREIGN CLAIMS

4.1 Domestic Priority Claim (continuation, divisional, continuation-in-part): Yes No

4.2 Foreign Priority Claims (Paris Convention or PCT national stage): Yes No

5. ENTITY STATUS

5.1 Applicant attests to the following entity status (select applicable): Individual/Small Entity Micro Entity Large Entity

6. ATTACHMENTS

The following documents are submitted with this Cover Sheet (check all that apply):
Specification   Claims   Drawings   Abstract

Oath or Declaration   Assignment Instruments   Power of Attorney or Agent Appointment

7. REPRESENTATIONS AND CERTIFICATIONS

7.1 Applicant hereby certifies, under penalty of perjury, that the information provided in this Cover Sheet is true, complete and correct to the best of Applicant's knowledge, that the listed inventors are those who contributed to the claimed subject matter, and that any priority claims identified are accurate and supported by records retained by Applicant.

7.2 Applicant authorizes Representative to receive correspondence from the patent office, to make routine procedural filings, and to take such actions as are necessary to prosecute the application, subject to express written instructions where substantive changes are required.

7.3 Applicant acknowledges responsibility for payment of required fees and for ensuring that any duty of disclosure and related obligations are satisfied in accordance with applicable law and rules governing patent practice.

8. NOTICES

Notices under this Cover Sheet must be sent to the Correspondence Address provided in Section 3 and shall be deemed given when delivered in person, by certified mail, or by confirmed electronic transmission to the contact information provided. Preferred notice method:

9. MISCELLANEOUS

Governing Law: This Cover Sheet shall be governed by and construed in accordance with the substantive laws governing patent filings and administrative proceedings in the jurisdiction where the application is filed, without regard to principles of conflicts of law.

Entire Agreement: This Cover Sheet, together with the attachments listed in Section 6, constitutes the entire agreement of the parties with respect to the matters addressed herein and supersedes all prior written or oral communications relating to same.

Severability: If any provision of this Cover Sheet is held invalid or unenforceable, the remaining provisions shall continue in full force and effect.

Amendments; Waiver; Counterparts: This Cover Sheet may be amended only by a written instrument signed by both parties. No waiver of any provision shall be effective unless in writing and signed by the waiving party. This Cover Sheet may be executed in counterparts, each of which shall be deemed an original.

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