Assignment Of Registration - Trade Mark Or Service Mark printable pdf download

Assignment Of Registration - Trade Mark Or Service Mark

ASSIGNMENT OF REGISTRATION

TRADE MARK OR SERVICE MARK

John A. Gale, Secretary of State

Room 1301 State Capitol, P.O. Box 94608

Lincoln, NE 68509

(402) 471-4079

Submit in Duplicate

Circle the type of filing to be assigned: Trade Mark or Service Mark

Mark to be assigned________________________________________________________

Whereas________________________________ ________________________________

Name of Assignor

Street Address

_________________________________________________ has adopted, used and is

City

State

Zip

using the mark which is registered with the Nebraska Secretary of State, and whereas:

____________________________________ ___________________________________

Name of Assignee

Street Address

_________________________________________________ desires to acquire said mark

City

State

Zip

and registration thereto:

Now, therefore, for good and valuable consideration, receipt of which is hereby

acknowledged, ______________________________________ does hereby assign to

Name of Assignor

______________________________________ all right, title and interest in and to said

Name of Assignee

mark.

______________________________________

Signature of Assignor

State of ____________________

County of __________________

Subscribed and sworn to before me this _______ day of __________________, ______

Year

_____________________________________

Notary Public

↑Affix Notary Seal here↑

Revised 09/09/2005

FILING FEE: $5.00

Assignment Of Registration - Trade Mark Or Service Mark