GHB Intellect
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Tiered Services Request Form

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    Service Requested:

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    Patent No. or Application No.:

    Brief description of why this patent is valuable and in what applications:

    Are there additional U.S. or international patents or patent applications in this family? If so, please list:

    Is prosecution open, e.g., are there any continuations in process?

    Are there any licensees, lien holders, or any other encumbrances on the patent? If so, please detail:

    Are you aware of or do you suspect any infringers? If so, please provide information on suspected infringer:

    Who may be interested in developing technology covered by the IP?

    What products or services does the IP cover?

    Do you have any estimates on the current and expected future market revenue for these products/services?

    At what stage is your patented idea/invention/product in development?

    Does the IP cover any products or services that your company currently practices? If yes, please explain.

    Purpose behind seeking a Financial Valuation and/or a Technical Evaluation:

    Have you previously estimated the value of the IP? If so, please explain when, by whom, and results:

    Have you performed any previous analysis or research on the technical merits of the IP? If so, please describe:

    Additional questions or comments:

    Please attach any prior analysis, research, or report(s) associated with your project.