Application Template For Renewal Of Trademark, Service Mark, Certification Mark Or Collective Mark - Minnesota Secretary Of State Page 2
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1
2GENERAL INFORMATION
This renewal form can only be filed during the six months preceding the expiration date. The renewal cannot be accepted
before or after this six month time period.
This form must be typewritten or printed in black ink for microfilming purposes.
Sign and date this document. Only one of the markholders must sign the form.
List the name and telephone number of a person to be contacted if there are any questions about this renewal filing.
Submit a $25.00 filing fee with your renewal application to the address listed below.
You will be sent a Certificate of Renewal after your document has been reviewed and filed.
INSTRUCTIONS FOR PRE-PRINTED FORMS
1. If all of the information pre-printed on this form is current, you need only sign and submit the form along with the
$25.00 filing fee.
2. The information pre-printed on this form is currently on file with the Office of the Secretary of State. Only the address
of the markholders in Item 3 may be changed on this form. If you are making an address change in item 3, you must list
the full street address, city, state and ZIP code of the markholder(s). If the markholders have changed, you must file an
assignment form. The form can be ordered by calling (651)296-2803.
INSTRUCTIONS FOR NON PRE-PRINTED FORMS
1. List the words or phrase used in the mark as well as a description of any design that is part of the mark. (This infor-
mation is on the original certificate of registration.)
2. List the classification number that appears on your original certificate of registration.
3. List the names and addresses of the persons or entities currently on file with the Office of the Secretary of State. If
the addresses have changed, list the new addres in the box to the right. If the markholders have changed, you must file
an assignment form. The form can be ordered by calling (651)296-2803.
4. List the date this mark was originally filed with the Secretary of State of Minnesota as it appears on the certificate of
registration.
5. List the date on which the mark expires, which is ten years after the date listed in item 4.
Please make the check payable to the Secretary of State. Your cancelled Check is your receipt.
Return this form and the $25.00 fee to:
Secretary of State
180 State Office Building
100 Rev. Dr. Martin Luther King Jr. Blvd.
St. Paul, MN 55155-1299
(651)296-2803
This document can be made available in alternative formats, such as large print, Braille or audio tape, by calling
(651)296-2803/Voice. For TTY communication, contact the Minnesota Relay Service at 1-800-627-3529 and ask them to
place a call to (651)296-2803. The Secretary of State’s Office does not discriminate on the basis of race, creed, color,
sex, sexual orientation, national origin, age, marital status, disability, religion, reliance on public assistance or political
opinions or affiliations in employment or the provision of services.
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