`Substitute for Form PTO-875
`
`Application or Docket Number
`18/182,797
`
`APPLICATION AS FILED - PART|
`Column 1
`(Column 2)
`
`NUMBER FILED
`
`SMALL ENTITY
`
`OTHER THAN
`SMALL ENTITY
`
`FEE($)
`
`RATE($)
`NIA
`<>
`
`<>
`
`111
`:
`*
`minus 3 = fs
`6
`3
`If the specification and drawings exceed 100
`APPLICATION SIZE_|sheets of paper, the application size fee due is
`FEE
`$310 ($155 for small entity) for each additional
`(37 CFR 1.16(s))
`50 sheetsor fraction thereof. See 35 U.S.C.
`41(a)(1)(G) and 37 CFR 1.16(s).
`
`PGP) (oe
`reetan
`EXAMINATION FEE
`or(37 CFR 1.16(0), (p),
`
`
`TOTAL CLAIMS
`
`INDEPENDENTCLAIMS
`(87 CFR 4.16(h))
`
`:
`
`*
`
`MULTIPLE DEPENDENT CLAIM PRESENT(37 CFR 1.16(j))
`
`* If the difference in column 1 is less than zero, enter "0" in column 2.
`
`APPLICATION AS AMENDED - PARTII
`
`AMENDMENTA
`
`the appropriate bax
`
`TOTAL
`ADD'L FEE
`is less than the entry in column 2, write "0" in column 3.
`* If the entry in column 1
`* If the "Highest Number Previously Paid For" IN THIS SPACE is less than 20, enter "20".
`* If the "Highest Number Previously Paid For" IN THIS SPACEis less than 3, enter "3".
`be "Highest Numbe
`evio
`Paid
`For’
`(Totalor
`independent
`is
`the highest
`found in
`
`(Column 2)
`(Column 1)
`HIGHEST
`CLAIMS
`NUMBER
`REMAINING
`PREVIOUSLY
`AFTER
`PAID FOR
`AMENDMENT
`Total Minus|***
`
`(37 CFR 1.16(i))
`
`(Column 3)
`
`SMALL ENTITY
`ADDITIONAL
`FEE($)
`
`OTHER THAN
`SMALL ENTITY
`ADDITIONAL
`FEE($)
`
`
`
`(37 CFR 1.16(h))
`Application Size Fee (37 CFR 1.16(s))
`
`FIRST PRESENTATION OF MULTIPLE DEPENDENTCLAIM (37 CFR 1.16(j))
`
`(Column 1)
`CLAIMS
`REMAINING
`AFTER
`AMENDMENT
`
`*
`
`(Golumn 2)
`HIGHEST
`NUMBER
`PREVIOUSLY
`PAID FOR
`
`**
`
`Minus
`
`(Golumn 3)
`
`(87 CFR 1.16(i)}
`Independent
`Minus
`) | |
`(37 CFR 1.16(h
`Application Size Fee (37 CFR 1.16(s))
`
`FIRST PRESENTATION OF MULTIPLE DEPENDENTCLAIM (37 CFR 1.16(j))
`
`AMENDMENTB
`
`ADDITIONAL
`FEE($)
`
`ADDITIONAL
`FEE($)
`
`