Trademark/service Mark Application Form - Kentucky Secretary Of State - 2012 Page 3
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4Instructions for completing the KY Trademark Service Mark Application
NOTE:
Application must be completed, including the notary section at the bottom.
Application must be verified and signed by the Applicant or an authorized agent of the Applicant, whose title must be
declared under oath.
LINE-BY-LINE INSTRUCTIONS
Indicate entity of Applicant, if “other organization” clarify on line below.
1.
2.
Must mark only one box. If applying for both trademark and service mark, must use separate applications.
3.
Print name of Applicant, must include any formal corporate ending.
4.
Print complete business address.
5.
This applies only to corporations and limited liability companies, print state of organization.
6.
This applies only to organized partnerships, print state of organization.
7.
State the products or services associated with the mark.
8.
State the way the mark is used to distinguish and identify the products or services listed in item 7.
9.
State the classification, by number, that best represents the products or services listed in item 7. Class listing is on page 4 of
this application packet.
10. State the earliest date that the mark was used in trade anywhere and the date first used in Kentucky. NOTE: The mark must
be in use in KY prior to registration.
11. State the mark in words exactly as it is to be registered. If the mark involves a symbol, design, or nonstandard typeface and
the applicant wishes to claim these features as part of the mark, then briefly describe in words the features of design. This is
the way the mark will be registered, and this is the way it should appear on the drawing page.
NOTE: A single application may not be used to seek registration of variations of a term or design.
12. A disclaimer is used when there are unregistrable components of an otherwise registrable mark. Generally, elements that are
descriptive or generic of the goods /services are unregistrable and should be disclaimed. You may call the office, visit our
website, or consult an attorney for more information on disclaimers and disclaimed elements.
13. The applicant must include a drawing page which depicts the mark exactly as described in item 11 of the application.
Signing the application: The applicant must swear under an oath administered by a notary public that the information is true and
correct and must sign the application in the presence of a notary public.
SPECIMENS OF USE: The application must be accompanied by three (3) specimens showing the mark as actually used.
A specimen must show usage in the normal course of trade in the Commonwealth of Kentucky.
A trademark specimen may include the following: label, tag, a picture or impression of the mark stamped on, printed on
or otherwise applied to goods.
A service mark specimen may include the following: advertisement, brochure, flier. Note: business cards and stationery
may be acceptable provided that they show a connection between the mark and the services offered.
NOTE: Names or marks typed, printed or written on plain paper are not acceptable as specimens of use of the mark.
Photo-ready or computer generated print-outs are not acceptable specimens of use.
FILING FEES: The filing fee for Trademark/Service Mark application is $10.00 per class.
When a single application includes goods or services falling in multiple classes, a fee of $10.00 is required for each class.
Your check should be made payable to the Secretary of State.
NUMBER OF COPIES: Submit the original signed application, no additional copies are necessary. Photocopied
signatures are not accepted.
MAILING ADDRESS: Secretary of State
Trademark Division
PO Box 718,
Frankfort, KY 40602-0718
Registration Period: Registration is effective for a term of five years from the date of registration. Registration can be
renewed by filing for renewal within six months prior to the expiration of the registration.
Contact Information:
For further information, call (502) 564-3490
Visit our website to review trademark/service mark FAQs and to perform online searches:
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