Small Business Services Application
The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2. I am not subject
PETITION FOR REVIVAL OF AN APPLICATION FOR PATENT
The above-identified application became abandoned for failure to file a timely and proper reply to a before June 8, 1995; and for all design applications; and
Requirements for Sole Proprietor
processing your application. All sections of the application must be completed. Individuals who wish to use a fictitious name must complete the attach
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT
certification included in the regulations before completing this form. Signature of this form provides for compliance with certification requirements
Small Business Services Application
acknowledge their receipt and agree to their terms; that issuance of each Debit Card or other access device selected in Section 3 is specifically requested;