If the Office refuses to make a requested correction or amendment, a person in interest may file with the Office a concise, written statement of disagreement. The statement of disagreement shall: Be on pages not larger than 8-1/2 x 11 inches in size; Use only one side of each page; Consist of not more than five pages, double spaced, in 12-point font; Explain the reason for the requested correction or amendment; and Explain the basis for the disagreement with the stated reason for the Office’s refusal to make the correction or amendment.