STATE OF MISSOURI
Secretary of State’s office
Corporations Division
PO Box 778
Jefferson City, MO 65102
573-751-3200
ASSIGNMENT OF MARK REGISTRATION INSTRUCTIONS
1.
Fill in the name and address of the person or corporation who registered the mark.
2.
Fill in the Missouri Registration Number from the Certificate of Registration and the
original date of registration.
3.
Fill in the name and address of the new owner (individual or corporation).
4.
Complete the name of the assignor (person or corporation who is assigning mark to new
owner).
5.
Fill in the name of the assignee (new owner).
6.
The assignment form is to be signed by assignor.
7.
The assignment form is to be notarized. The notary public is to sign the form and
also include their embossed or rubber stamp seal on the document. Any addi-
tional notary information required by state law is also to be completed by the
notary public.
8.
The fee for assigning a mark is $50.00. All checks or money orders should be
made payable to the Director of Revenue.
9.
Send a separate check for each assignment application or mark.
10.
A certificate will be issued in the name of the assignee (new owner) for the remain-
der of the term of registration. It will be mailed to the assignee or representative of the
assignee.
11.
Completed assignment forms and fee should be returned to the Secretary of State’s
Office, Corporations Division, PO Box 778, Jefferson City, MO 65102
12.
If you have any questions regarding the completion of this form, please call our office
at 573-751-3200.
TMSM 30 (10-07)