Trademark or Service Mark Assignment Form
Reference Business Regulation Article Title 1, Subtitle 4, Annotated Code of Maryland
Print this form, complete it (can be filled out online) and mail it with a check or money order
for $10.00 to: Trademark Division, Office of the Secretary of State, State House, Annapolis
MD 21401. Please make checks payable to: Secretary of State
For more information call (410) 974-5521.
Whereas (name of assignor and state of incorporation)_____________________________
of (full address)
has adopted, used and is using the mark which is registered with the Secretary of State,
said mark having been granted Registration No. _______________ dated_______________
and,
Whereas (name of assignee and state of incorporation) _____________________________
of (full address)
is desirous of acquiring said mark and registration thereof:
Now, therefore, for good and valuable consideration, receipt of which is hereby
acknowledged,
(name of assignor) _________________________________________________________
does hereby assign _________________________________________________________
(name of assignee) _________________________________________________________
right, title and interest in and to said mark, together with the good will of the business in
which the mark is used (or that part of the good will of the business connected with the use
of and symbolized by the mark) and the Registration No. _________________ thereof.
Name of assignor: __________________________________________________________
By: ______________________________________________________________________
Date: ___________________