Trademark/service Mark Assignment
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2COMMONWEALTH OF KENTUCKY
ALISON LUNDERGAN GRIMES
SECRETARY OF STATE
Trademark/Service Mark Assignment
_______________________________________________________________ being the owner of record in
(Prior owner)
the Office of the Secretary of State of the following registration (check box and fill in the mark as registered)
trademark
service mark described as follows: ____________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
bearing the certificate number _______________________________, does hereby assign, and transfer all
right, title and interest in said mark with the goodwill of the business in which the mark is used, or that part of
the goodwill of the business connected with the use of and symbolized by the mark to
_______________________________________________________________________________________
(New owner)
whose business address is:
_______________________________________________________________________________________
(Street address)
_____________________________, __________________________, ______________, ______________.
(City)
(County
(State)
(Zip code)
If the Assignee is a corporation or limited liability company, the state of incorporation/organization is
_________________.
If the Assignee is a partnership, the state where the partnership is organized is ________________________
and the names of the general partners are ____________________________________________________.
(Attach a continuation sheet, if necessary)
The Assignor executes this assignment this _________ day of ____________________20 ______.
______________________________________
Signature
______________________________________
Type or Print Name and Title
State of: ______________________
County of: ____________________
Subscribed and sworn to before me this __________ day of ______________________, 20 _______.
________________________________________________
Notary Public
My Commission Expires: ____________________________
(01/12)
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Parent category: Business