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Utility Patent Intake Form

The following Intake Form is designed to elicit, from the Submitter, information sufficient for Au LLC to: (i) perform a conflict check concerning Submitter and those on whose behalf Submitter is completing the form; and (ii) evaluate the Invention as submitter hereinafter describes. Please answer the following questions as thoroughly and accurately as possible. Willful false statements are punishable by fine or imprisonment, or both, under 18 U.S.C. 1001 and that such willful false statements may jeopardize the validity of the application or any patent issued therefrom.