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PTO Form 2196 (Rev 9/2005)
OMB No. 06510056 (Exp 9/30/2017)Revocation of Attorney/Domestic Representative and/or Appointment of
Attorney/Domestic Representative
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What is original address?
The original address is the initial address provided by an individual or entity for official correspondence and communication purposes.
Who is required to file original address?
Any individual or entity that needs to receive official correspondence or communication is required to file an original address.
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You can fill out the original address by providing your complete and accurate address details on the designated form or online platform.
What is the purpose of original address?
The purpose of the original address is to ensure that official correspondence and communication reach the intended recipient in a timely manner.
What information must be reported on original address?
The original address should include the recipient's name, street address, city, state, and postal code.
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