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Doc code: Oath Document Description: Oath or declaration filed PTO/SB/AIA02 (0612) Approved for use through 01/31/2014. OMB 06510032 U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE Under

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Substitute statement in lieu is a form that is filed in place of the original statement that cannot be obtained.

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To fill out substitute statement in lieu, one must provide all necessary information that would have been on the original statement.

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The substitute statement in lieu must report all relevant information that would have been on the original statement.

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