Form Tm-3 - Affidavit Of Change Of Ownership For Trademark Or Service Mark Form - State Of Montana - Secretary Of State
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1Prepare, sign and submit an ORIGINAL AND COPY with fee.
STATE OF MONTANA
This is the minimum information required.
(This space for use by the Secretary of State only)
AFFIDAVIT of CHANGE of OWNERSHIP
for TRADEMARK or SERVICE MARK
MAIL:
BOB BROWN
Secretary of State
P.O. Box 202801
Helena, MT 59620-2801
PHONE:
(406)444-3665
Form: TM-3
FAX:
(406)444-3976
Filing Fee: $20.00
WEB SITE:
* *
Priority Filing Add $20.00
Whereas_______________________________________________________________________,
(Previous registered owner)
of __________________________________________________________________________________,
(address)
(city, state, zip)
registered in the Office of Secretary of State of the State of Montana, the mark, known as:
_____________________________________________________________________________________
(Name of mark)
under Registration No._____________________________ dated ______________________________, and
Whereas_______________________________________________________________________
(Present owner)
of__________________________________________________________________________________
(address)
(city, state, zip)
has acquired said mark by: (briefly explain how acquired)
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
and holds all rights, title and interest in and to the said mark together with the good will of the business symbolized
by the same, and registration thereof.
By:_________________________________
(Name of Assignor)
__________________________________
(Official title)
Subscribed and sworn to before me this_________day of________,20_______
___________________________________
Notary Public in and for the
State of_____________________________
Residing at__________________________
My commission expires________________
s:\forms\tm-3
Revised:01/02/2001
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