Form Cr2e005 - Cover Letter Template - Registration Section Division Of Corporations - 2011 Page 2
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1
2
3MARK RENEWAL APPLICATION
Name and Mailing Address of Owner:
Return To: Division of Corporations
P.O. Box 6327
Tallahassee, FL 32314
1) Mark Registered:
2) Registration Number:
3) Date Filed:
4.) Renewal Date:
5.) Class(es) Filed:
6) Renewal statement pursuant to section 495.071, Florida Statues. Below you must state the mark is still in
use in Florida or state the reason for its nonuse is not due to any intention to abandon the mark.
7) If the mark is still in use, a specimen showing actual use of the mark is included with this application.
8) If applicant is a business entity, enter the state of incorporation/formation/organization: _____________
Typed or Printed Name of Owner
Owner’s Signature or Authorized Person’s Signature
STATE OF_______________________
COUNTY OF_____________________
Sworn to and subscribed before me on this
day of
,
,
(Name of Individual Signing)
who is personally known to me
whose identity I proved on the basis of
(Seal)
Notary Public’s Signature
Fee: $87.50 Per Class
Certificate of Renewal : $8.75 (Optional)
Notary Public’s Printed Name
CR2E005 (1/11)
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Parent category: Business