This is not a substitute for legal advice.  An attorney must be consulted.

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TRADEMARK RECORDATION FORM

COVER SHEET

Attorney Docket No. _____________________________

  

To the Honorable Commissioner of Patents and Trademarks:  Please record the attached original document or copy thereof.  

1.  Name of conveying party(ies):  

  ______________________________________

   Name of Party Assigning Rights

 

[  ] Individual(s)              [  ] Association

 

 

[  ] General Partnership  [  ] Limited Partnership

 

 

[  ] Corporation-State     [  ] Other _____________________

 

Additional name(s) of conveying party(ies) attached? 

[  ] Yes     [  ] No

 

3. Nature of Conveyance:

 [  ] Assignment [  ] Merger [  ] Security Agreement  

 [  ] Change of Name  [  ] Other ________________________

Execution Date: ____________________________________

 

2. Name and address of receiving party(ies):

Name: ________________________________________

 

 

Internal Address: _______________________________ 

 

 

Street Address: _______________________________

 

City _____________________ State _____ ZIP _____

 

 

[  ] Individual(s) Citizenship _________________________

[  ] Association ___________________________________

[  ] General Partnership ____________________________

[  ] Limited Partnership _____________________________

[  ] Corporation-State ______________________________

[  ] Other ________________________________________

 

If assignee is not domiciled in the United States, a domestic representative designation is attached.
[  ] Yes  [  ] No
(Designation must be a separate document from Assignment.)

 

Additional name(s) & address(es) attached? 
[  ] Yes [  ] No

4A. Application No.(s)

_________________________________________________

Application No.(s) - if Applicable

 

Additional numbers attached? [  ] Yes [  ] No

4B. Registration No.(s)  

______________________________________

Registration No.(s) - if Applicable  

Additional numbers attached? [  ] Yes [  ] No  

5. Name and address of party to whom correspondence concerning document should be mailed:  

Name: ___________________________________               
               Responsible Attorney  

________________________________

Address

________________________________                  

City: ________________ State: _____ ZIP: _____  

6. Total number of applications and registrations

   involved: [  ]  

 

7. Total fee (37 CFR 3.41):.....$  ___________  

 

8. Method of Payment
[  ] Enclosed
[  ] The Commissioner is authorized to charge payment of any additional recording fees or credit any overpayment to deposit account No. __________________________. A duplicate copy of this page is enclosed. 

                                                                         

DO NOT USE THIS SPACE

9. Statement and signature.

To the best of my knowledge and belief, the foregoing information is true and correct and any attached copy is a true copy of the original document.

                                                         

Signature

 

 

                                                                        ____________________

Name of Person Signing                                                          Date

 

 

Total number of pages including cover sheet, attachments and document: [  ]

                                                                                  

1.   trademark.

2. 

3. 

4. trademark.

5.  trademark.

6.   

7.  trademark

8. 

9. 

 

This is not a substitute for legal advice.  An attorney must be consulted.
Copyright ©1994 - 2024 by LAWCHEK, LTD.

 

 

 

 

Copyright © 1994 - 2024 by LAWCHEK, LTD.

This is not a substitute for legal advice. An attorney must be consulted.