Affidavit For Micro Entity Status
I, am an inventor of an invention entitled for
which an application for patent is being made or has been made (the “patent application concerned”) and
I hereby swear or affirm the following to be true:
1. SMALL ENTITY REQUIREMENT: The applicant for the patent application concerned
qualifies as a small entity under 37 CFR 1.27.
2. Application Filing Limit: I have not been named as an inventor nor joint
inventor on more than four previously filed U.S. non-provisional patent applications that were not assigned , or
obliged to be assigned, to a previous employer.
3. Gross Income Limit: I did not have a Gross Income exceeding three times the
median household income during the preceding calendar year.
4. Gross Income Limit on Parties with “Ownership Interest”: Neither I
nor the applicant for the patent application concerned (if not the same) have assigned, granted, or conveyed a
license or other ownership interest in the patent application concerned to an entity that had a Gross Income
exceeding three times the median household income during the preceding calendar year. Furthermore, neither I nor
the applicant for the patent application concerned (if not the same) are under an obligation to assign, grant, or
convey a license or other ownership interest in the patent application concerned to an entity that had a Gross
Income exceeding three times the median household income during the preceding calendar year.
I SWEAR OR AFFIRM THAT THE ABOVE REPRESENTATIONS ARE TRUE AND CORRECT TO THE BEST OF MY INFORMATION, KNOWLEDGE,
AND BELIEF.
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