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United States Patent And Trademark Office



UNITED STATES PATENT AND TRADEMARK OFFICE
TRADEMARK EXAMINING OPERATION
[Notice of Mark]

In re Application of: [Trademark]

Serial No. [Serial Number]
Filed: [Date Filed]
Mark: [Mark of trademark]

Assistant Commissioner for Trademarks
2900 Crystal Drive
Arlington, VA 22202


Sir / Madam:

Applicant requests registration of the above identified trademark in the United States Patent and Trademark Office on the Principal Register established by the Act of July 5, 1946 (15 U.S.C. 1051 et seq., as amended). Three specimens showing the mark as used in commerce are submitted with this amendment.

Applicant is using the mark in commerce on or in connection with the following goods:


The mark was first used on [Date first used]
The mark was first used in [Place where mark was first placed].

The trademark is used by applying the label for the goods.

The fee of $100 for this amendment is submitted herewith pursuant to 37 C.F.R. 2.6.
The undersigned, being hereby warned that willful false statements and the like so made 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 resulting registration, declares that he is properly authorized to execute this Amendment to allege use on behalf of the Applicant; he believes the Applicant to be the owner of the mark sought to be registered; the trademark is now in use in commerce; and all statements made of his own knowledge are true and all statements made on information and belief are believed to be true.

[Name of Company]


Date: By:
[Name / Title]