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Form #862Declaration - Plant Patent Application
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Declaration - Plant Patent Application (Free Legal Form)
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DECLARATION
PLANT PATENT APPLICATION
State of:
_______________________________
County of:
_____________________________
My name,
address, citizenship, and residence are as follows:
Full name of
Inventor: ________________________________________________
Citizenship:
________________________________________________________
Residence:
_________________________________________________________
Post Office
Address: _________________________________________________
I believe that
I am the original inventor of the new and distinct variety of
_________________________________________________________________ (Give the
Name of or a Description of the Plant) which I have described and claimed in
the foregoing specification. I have asexually reproduced this new and distinct
variety. To the best of my knowledge and belief, this variety was never known
or used in the United States prior to my invention of it. Nor was this variety
ever patented or offered for sale in the United States prior to my invention of
it. I also recognize that I have a duty to disclose material information
pertaining to this application of which I am aware.
To the best of
my knowledge and belief, all the statements made herein are true and were made
with the knowledge that willful false statements are unlawful and are
punishable by fine or imprisonment, or both.
___________________________________ ___________________
Signature Date
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Keywords: Declaration, Plant Patent, Legal forms
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