Patent Term Adjustment Statement Under 37 CFR 1.704(d)

• Legal Form Number: SB/133
• Court: United States Patent and Trademark Office
• Section: United States Patent and Trademark Office

Doc Code: PTA.IDS

Document Description: Patent Term Adjustment Stmt Under 37CFR 1.704(d)

PTO/SB/133 (02-23)

APPLICANT HEREBY STATES THE FOLLOWING (please review 37 CFR 1.704(d) before filing this

form):

Each item of information contained in the information disclosure statement was first cited in any

communication from a patent office in a counterpart foreign or international application or from the Office,

and this communication was not received by any individual designated in 37 CFR 1.56(c) more than thirty days

prior to the filing of the information disclosure statemen t.

AND/OR

Each item of information contained in the information d isclosure statement is a communica

tion that was

issued by a patent office in a counterpart foreign or international application or by the Office, and this

communication was not received by any individual designated in 37 CFR 1.56(c) more than thirty days prior to

the filing of the information disclosure statement.

INSTRUCTIONS:

•This form will not satisfy the requirement of 37 CFR 1.97(e ). The present statement is filed under 37 CFR

1.704(d) and will not substitute for compliance with any of th e requirements of 37 CFR 1.97 and 1.98. For

an information disclosure statement to comply with 37 CFR 1. 97(c) or (d), the information disclosure

statement must be accompanied by a statement under 37 CFR 1.97(e) notwithstanding any statement filed

under 37 CFR 1.704(d).

•The present form (PTO/SB/13 3) should be filed concurrently with the information disclosure statement to

derive benefit under 37 CFR 1.704(d).

Signature

Date

Typed or

Printed Name

Practitioner

Registration Number

Note: Signatures of all the inventors or assignees of record of the entire interest or their representative(s) are required in accordance

with 37 CFR 1.33 and 11.18. Please see 37 CFR 1.4(d) for the form of the signature. If necessary, submit multiple forms for more

than one signature, see below*.

*Total of forms are submitted.

If you need assistance in completing the form, call 1-800-PTO-9199 and select o ption 2.

PATENT TERM ADJUSTMENT

STATEMENT UNDER 37 CFR 1.704(d)

Application Number

Filing Date

First Named Inventor

Art Unit

Examiner Name

Practitioner Docket No.