`REGISTERED PRACTITIONERS
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`NOTE:This form is to be submitted with the Power of Attorney by Applicant form (PTO/AIA/82B or equivalent) to
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`Date
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`May 17, 2021
`
`ny Ta1-4200
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`NOTE: This form must be signed in accordance with 37 CFR 1.33. See 37 CFR 1.4(d) for signature requirements and
`certifications.
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