Client/Invention Info

Registered Patent Agent
John V. Stewart

1308 Henry Balch Dr., Orlando FL 32810 USA
Phone & Fax 407-629-5240, E-mail: patents@jvsinventions.com

The information below helps me advise you properly on patenting and/or prepare a patent application. You can print this page, complete it, and mail or fax it to me.

Title of Invention:

INVENTOR #1 - address, phones, fax, email, birth date, citizenship:

INVENTOR #2 (if invented jointly) - address, phones, fax, email, birth date, citizenship:
Note that a joint inventor is one who actually contributed to the inventive concept.

Earliest provable date of conception of the invention (records, witnessed or notarized description, etc.):

Disclosure Document number and date, if any:

Has a patent search or other prior art search been done? (give date of search, type of search, classes/subclasses searched, number of documents found)

Has a prior patent application that describes or shows this invention been filed anywhere? (give country, application #, date filed, patent #, date issued)

Have you built and tested a prototype? (this is not essential for patenting) If so, when?

Have you sold a product based on the invention, offered it for sale, used it in public or commercially, or published a description of the invention? (when, where, how)

I need to understand your invention in order to advise you about it, perform a patent search, or give you a quote for patenting. You should write a description or summary and make one or more sketch(es) showing the invention. Your description should include a list of the features you consider novel over prior devices, and the advantages of these features. You should then obtain signatures of two witnesses on your description and sketch(es) as described in my General Information page. You can then mail or fax this form to me with your description and sketch(es).

PATENT AGENT: John V. Stewart, 1308 Henry Balch Dr., Orlando, FL 32810 acknowledges and agrees as follows:

AGENT is a currently registered U.S. Patent Agent in good standing with the U.S. Patent Office.
All materials provided by the above INVENTOR(S) to describe the above invention to AGENT are CONFIDENTIAL MATERIALS, unless a disclosure of the invention has already been made public.
AGENT agrees to accept these CONFIDENTIAL MATERIALS under the following conditions:
These CONFIDENTIAL MATERIALS shall be used by AGENT solely for purposes requested by the INVENTOR, such as a patent search, patenting, and drawings.
AGENT agrees not to reveal these CONFIDENTIAL MATERIALS to any parties except as authorized by the INVENTOR. Agent will provide these CONFIDENTIAL MATERIALS to a search firm if a full patent search is requested by the INVENTOR.
AGENT shall exercise a high degree of care to safeguard these CONFIDENTIAL MATERIALS from access by unauthorized persons.
AGENT shall only copy the CONFIDENTIAL MATERIALS as needed for the purposes above, and AGENT shall return the confidential materials to INVENTOR at any time upon request by INVENTOR.
These terms shall not apply to any information which AGENT can document becomes part of the general public knowledge through no fault of AGENT, such as after publication of a disclosure of this invention by a patent office.

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