`
`PATENT APPLICATION FEE DETERMINATION RECORD
`
`Effective October 2, 2008
`
`Application or Docket Number
`
`CLAIMS AS FILED - PART I
`
`(Column 1)
`
`(Column 2)
`
`SMALL ENTITY
`
`OR
`
`RATE
`
`RATE
`
`FEE
`
`US, is ISA = 550/5100 ALL
`.
`other countries =
`$215l$430
`
`ALL 0
`
`ther situations =
`$2 70/5550
`
`EXAM. FEE
`
`MULTIPLE DEPENDENT CLAIM PRESENT
`
`" If the difference in column 1 is less than zero, enter "0" in column 2
`
`OR BASIC FEE
`
`rnX>
`
`Tl I'T'ln1
`
`SEARCH FEE
`
`X$270=
`
`OR X$52=
`
`OR X$220=
`
`OR +$390=
`
`OR
`
`TOTAL
`
`\\L0' 0
`
`FEE LARGE ENTITY
`
`CLAIMS AS AMENDED - PART II
`
`(Column 1)
`CLAIMS
`REMAINING
`AFTER
`AMENDMENT
`
`(Column 2)
`HIGHEST
`NUMBER
`PREVIOUSLY
`PAID FOR
`
`(Column 3)
`
`SMALL ENTITY
`
`OR
`
`ADDI—
`TIONAL
`FEE
`
`OTHER THAN
`SMALL ENTITY
`
`RATE
`
`ADDI-
`TIONAL
`FEE
`
`OR X$52=
`
`OR X$220=
`
`OR +$390=
`TOTAL ADDITA
`FEE
`
`OR
`
`CLAIMS
`REMAINING
`AFTER
`AMENDMENT
`
`(Column 3)
`
`(Column 2)
`HIGHEST
`NUMBER
`PREVIOUSLY
`
`TIONAL
`
`ADDI-
`TIONAL
`FEE
`
`AMENDMENTA
`
`AMENDMENT8
`
`If the entry in column 1 is less than the entry in column 2, write "0" in column 3.
`" ll the "Highest Number Previously Paid For" IN THIS SPACE is less than '20', enter "20".
`"‘ If the "Highest Number Previously Paid For" IN THIS SPACE is less than '3', enter ”3".
`The "Highest Number Previously Paid For' (Total or Independent) is the highest number found in the appropriate box in column 1.
`
`FORM PTO-875
`
`(Rev. 02/2005)
`
`Patent and Trademark Ollice - U.S. DEPARTMENT OF COMMERCE
`
`