Please enter the serial/registration number(s)* for which you are seeking to withdraw as the Attorney of Record. For multiple requests, separate each number with a space, with no punctuation. Then, click on the Continue button, below; or, to start over, click on the CLEAR button.
WARNING: If entering multiple serial/registration numbers, the owner must be the same for ALL listed numbers. If not, complete separate withdrawal forms. Otherwise, upon withdrawal, the new correspondence address will not be correct for any number beyond the first listed serial/registration number.
WARNING: This form has a session time limit of 60 minutes. Your "session" began as
soon as you accessed this initial Form Wizard page. If you exceed the 60-minute time limit,
the form will not validate and you must begin the entire process again; you can,
however, extend the time limit. You should always try to have
all information required to complete the form prior to starting any session.
* You must complete any field preceded by the symbol "*"
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WARNING: The owner of record must be identical for all entered serial/registration numbers, since the correspondence address will be updated to that of the owner upon processing of this withdrawal request.
If there are different owners, you must file separate withdrawal requests.
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