Supplemental Sheet for Declaration: Fill out & sign online

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Click ‘Get Form’ to open the Supplemental Sheet for Declaration in our editor.
Begin by entering your Application Number and Filing Date in the designated fields. This information is crucial for tracking your submission.
Indicate whether you assert small entity or micro entity status by checking the appropriate boxes. This affects your fee calculations.
Fill in the First Named Inventor's name and the Examiner's Name, ensuring accuracy as this information is vital for processing.
In the Fee Calculation section, select the application type and input the corresponding fees based on your entity status. Make sure to calculate any excess claim fees if applicable.
Choose your Method of Payment by checking all that apply, and provide necessary details such as Deposit Account Number if using a deposit account.
Finally, sign and print your name in the 'Submitted By' section, along with your Registration Number and contact information before submitting.

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