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Application For Registration Of Trademark
APPLICATION FOR REGISTRATION OF TRADEMARK
To: The Secretary of State of the State of [name of state]
The undersigned applies to register the trademark described herein pursuant to [Statute cited], and affirms under the penalties of perjury that the statements made herein and on the papers attached hereto are true.
Name of applicant:[Name of applicant]
Address: [Address of applicant]
If corporation, state of incorporation: [state of applicant's company]
If partnership, names and addresses of all partners: [partners]
Description of trademark: [Description of trademark]
Specific goods or services on or in connection with which the trademark is used: [Goods or services].
Manner in which trademark is placed on goods or otherwise used in connection with applicants goods or services: [manner]
Name of class and classification number of goods or services:[class of goods]
Date of first use of trademark: [date of first use]
In State of [state] [date of first use in state].
Elsewhere: [date of first use elsewhere].
Send certificate of registration and communications with respect to this application to: [name and mailing address of applicant or agent authorized to prosecute application].
Applicant is the owner of the trademark described herein, and no other person has the right to use such trademark in this state, either in the identical form or in such near resemblance thereto as might be calculated to deceive, or be mistaken for, such trademark.
Three samples or facsimiles of such trademark are attached hereto.
Signature: Date :