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Assignment Trademark-Registered Under State Statute
ASSIGNMENT TRADEMARK-REGISTERED UNDER STATE STATUTE
In consideration of the sum of $[Amount paid], and other good and valuable consideration, receipt of which is hereby acknowledged, the undersigned registrant of a certain trademark described as [Description of trademark], and registered in the office of the Secretary of State of the State of [State], under Number [Number of trademark], dated [Date of trademark], hereby assigns to [Name of assignee], of [address of assignee] all right, title and interest in such trademark and the registration thereof, together with the good will of all that part of registrants business in connection with which such trademark is used.
Signature Date