REISSUE APPLICATION

INVENTOR DECEASED

 

 

IN THE UNITED STATES PATENT AND TRADEMARK OFFICE

 

In re application of:  ______________________________________________ (Name)

Serial No.: __________________________

Examiner:  ______________________________________________________ (Name)

Filed:  _____________________________ (Date)

Group:  ______________________________________________________________

For:  ________________________________________________________ (Invention)

 

To the Commissioner of Patents and Trademarks:

 

As the applicant of the attached reissue application covering the letters patent for the improvement in ______________________________________________ (Specify Subject of Invention) which was granted to __________________________ (Name), now deceased, on ____________________________ (Date), I hereby offer to surrender that letters patent.  I am the assignee of the entire interest in the letters patent and you will find an abstract of my title attached hereto. 

 

 

 

___________________________________                       ___________________

Signature                                                                               Date