аЯрЁБс>ўџ HJўџџџGџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџьЅСq` јПтbjbjqPqP <*::в џџџџџџЄœ œ œ œ œ œ œ А єєє8,,XА K-H€юn:ЈЈЈЊРl,8 $ $ $ $/<$<x(<Д,$“.hћ0Ши,-œ dИИ^ddи,œ œ ЈЈ-ЬЬЬdЌœ Јœ Ј $Ьd $ЬЬW"Ьœ œ W# Јt @ЪfЊ&uЩєЌ##ї#-0K-=#У1МњУ14c#У1œ c#”ddЬdddddи,и,ЖdddK-ddddА А А DєА А А єА А А œ œ œ œ œ œ џџџџ PATENT Docket No.:  FORMTEXT (our use only) ASSIGNMENT In consideration of One Dollar and other good and valuable considerations, the receipt and sufficiency of which are hereby acknowledged, the undersigned hereby assigns to  FORMTEXT XYZ Company, a  FORMTEXT corporation, having a principal place of business at  FORMTEXT 123 Any Street, Anytown, U.S. A, its successors and assigns (hereinafter Assignee”), the entire right, title and interest in the invention or improvements of the undersigned disclosed in the following applications and/or United States Letters Patent: Application Serial No.:  FORMTEXT 12/345678 Titled:  FORMTEXT APPARATUS AND METHOD FOR MAKING XYZ Filed:  FORMTEXT mm/dd/yyyy Executed: FORMTEXT mm/dd/yyyy and any and all other applications for Letters Patent which the Assignee or the undersigned may file, either solely or jointly with others, on said invention or improvements, and in any and all Letters Patent of the United States which may be obtained on any of said applications, including any identified above, and in any reissue or extension thereof. The undersigned hereby authorizes and requests the Commissioner of Patents to issue said Letters Patent to said Assignee. The undersigned hereby authorizes and requests the attorneys of record in said application(s) to insert in this Assignment the serial number, filing date, and date of execution of said application(s). For said considerations, the undersigned hereby agrees, upon the request and at the expense of said Assignee, to execute any divisional, continuation, continuation-in-part or substitute application for said invention or improvements, and any oath or affidavit relating thereto, and any application for the reissue or extension of any Letters Patent that may be granted upon said application(s), and, in the event of any application or Letters Patent assigned herein becoming involved in an interference, to cooperate to the best of the ability of the undersigned in the matters of preparing and executing the preliminary statement and giving and producing evidence in support thereof. The undersigned agrees to perform, upon request, any affirmative acts to obtain said Letters Patent of the United States and vest in said Assignee all rights therein, whereby said Letters Patent will be held and enjoyed by said Assignee, to the full end of the term for which said Letters Patent may be granted as fully and entirely as the same would have been held and enjoyed by the undersigned if this assignment has not been made. And for said consideration, the undersigned hereby assigns to said Assignee the entire right, title and interest in said invention or improvements for all foreign countries, including all priority rights, and agrees to execute, at the request of said Assignee, all documents in connection with any application for foreign Letters Patent therefor. ________________________________________  FORMTEXT JANE DOE _____________________________, 200 FORMTEXT       STATE OF  FORMTEXT ANY STATE COUNTY OF  FORMTEXT ANY COUNTY Before me, a Notary Public in and for the County and State aforesaid, appeared to me  FORMTEXT Jane Doe personally known to be the same person whose name is subscribed to the foregoing instrument, and acknowledged that he executed said instrument as his free and voluntary act for the uses and purposes therein expressed. ________________________________________ Notary Public       PAGE 2  FILENAME \p \* MERGEFORMAT X:\documents\PTO forms\Patent forms and samples\Sample Assignment (filled in).DOC   FILENAME \p \* MERGEFORMAT X:\documents\PTO forms\Patent forms and samples\Sample Assignment (filled in).DOC  !/0=ъыѕії        J K U V W v w T m ќёчтечЪчёРАЅ’ААРАЅnААРАЅ[ААРќ$j\ *hu.‹CJOJQJU$jш *hu.‹CJOJQJU *hжFбCJOJQJmHnHu$jt *hu.‹CJOJQJU *hu.‹CJOJQJj *hu.‹CJOJQJUhu.‹CJOJQJhжFб5mHnHujhu.‹5U hu.‹5jhu.‹5Uhu.‹5CJOJQJhu.‹ 1<=>S T … С т   g h у ф Ў Џ nopЌЩЪ§јѓёёььъъъъъьььььььььььььь$a$$a$$a$ис§§m n x y z ƒ „ Ž  ™ š › œ О П Щ Ъ д е ж р с ъ ы ь і ї ј    ВГНіёфійіеЩТГЩІ™ЩеіёŒі‡іеёіёzійіеp`U *hu.‹CJOJQJj *hu.‹CJOJQJUhu.‹CJOJQJj, *hu.‹U *hжFбjИ *hu.‹U *hтCJmHnHu *hжFбCJmHnHujD *hu.‹CJU *hu.‹CJj *hu.‹CJUhu.‹ *hжFбmHnHujа *hu.‹U *hu.‹j *hu.‹U!НОПЧШэюјљ   "68:LNdfzэнЬнТнЗЄннТ~q]~K~Т~q# *hжFб>*CJOJQJmHnHu'jŠ *hu.‹>*CJOJQJU *hu.‹>*CJOJQJ!j *hu.‹>*CJOJQJU)j *hu.‹CJOJQJUmHnHu$j *hu.‹CJOJQJU *hu.‹CJOJQJhu.‹CJOJQJ *hжFбCJOJQJmHnHuj *hu.‹CJOJQJU$jЂ *hu.‹CJOJQJUЪЫP–’“”Узиклнорсуфцчщъѕіїiїїїїѕ№№№№№ююююююююьюьюусюс„ќџ„&`#$$a$'$dha$z|~’”–BDXZ\ln’ийлмопстфхчшъыёђѓєѕїјыкШкОКВКЇВЃВКО›—›—›—›—‰…‰…{u{j{u…`Z hЎP2CJjhЎP2CJUhЎP20JmHnHu hЎP20JjhЎP20JUhЎP2jhЎP2UmHnHuh4gejh4geUhжFбjvhu.‹Ujhu.‹Uhu.‹hu.‹CJOJQJ# *hжFб>*CJOJQJmHnHu!j *hu.‹>*CJOJQJU'j *hu.‹>*CJOJQJU#ghjkmn‹ŒнорстѕъѕцицѕвѕъѕцЮФhu.‹CJOJQJh4ge hЎP2CJjhЎP2UmHnHuhЎP2h3|№CJmHnHujhЎP2CJUijlmпрст§ћ§љ§§є$a$: 00PP&PАа/ Ар=!А "А # $ %АА А` аtDџџџџText1tDџџџџText2tDџџџџText3tDџџџџText4tDџџџџText5tDџџџџText6tDџџџџText7vDџџџџText13tDџџџџText8tDџџџџText9vDџџџџText11vDџџџџText12vDџџџџText10†+œH@ёџH Normal CJOJQJ_HkHфmH sH tH H@H Heading 1$Є№Є<@& 5CJKHF@F Heading 2$Є№Є<@& 56CJ@@@ Heading 3$Є№Є<@&CJD@D Heading 4$Є№Є<@&5CJJ@J Heading 5$$@&a$5CJOJQJ>@> Heading 6 Є№Є<@&6>@> Heading 7 Є№Є<@&CJB@B Heading 8 Є№Є<@&6CJD @D Heading 9 Є№Є<@& 56CJDA@ђџЁD Default Paragraph FontViѓџГV  Table Normal :V і4ж4ж laі (kєџС(No List 0U@Ђё0 Hyperlink>*B* @V@Ђ@ FollowedHyperlink>*B* `$@` Envelope Address!„@ „ќџ„єџ„№&€+DМ/„Д^„@ CJ>%@"> Envelope ReturnCJTўO2T (1) E4*$ Ц Р„ „аdЄЄx^„ `„аa$@ˆ§џbўOBb (a) E37$ Ц p@ „а„аdЄЄxЄx^„а`„аa$@ˆ§џTўORT (A) E5*$ Ц Р„p„аdЄЄx^„p`„аa$@ˆ§џ`ўO` ARTICLE E1#$$$ Ца РdЄЄxa$5:CJKHbўOb SECTION E2*$$$ Ц @ €€€dЄЄxЄxa$ 5:>*4 @‚4 Footer  ЦH$>’>  Footnote TextЄCJ4@Ђ4 Header  ЦH$6)@ЂБ6 Page NumberOJQJH&ЂСH Footnote Reference H*OJQJ.. 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