Assignment Of Registration Form - Secretary Of Form printable pdf download

Assignment Of Registration Form - Secretary Of Form

ASSIGNMENT OF REGISTRATION

TRADE NAME TRADE MARK OR SERVICE MARK

John A. Gale, Secretary of State

Room 1305 State Capitol, P.O. Box 94608

Lincoln, NE 68509

(402) 471-4079

Submit in Duplicate

Circle the type of filing to be assigned: Trade Name Trade Mark Service Mark

Name or Mark to be assigned________________________________________________

Whereas________________________________ ________________________________

Name of Assignor

Street Address

_________________________________________________ has adopted, used and is

City

State

Zip

using the trade name or mark which is registered with the Nebraska Secretary of State,

and whereas: _______________________________ _____________________________

Name of Assignee

Street Address

_________________________________________________ desires to acquire said trade

City

State

Zip

name or mark and registration thereto:

Now, therefore, for good and valuable consideration, receipt of which is hereby

acknowledged, ______________________________________ does hereby assign to

Name of Assignor

______________________________________ all right, title and interest in and to said

Name of Assignee

tradename or mark.

State of ____________________

County of __________________

______________________________________

Signature of Assignor

Subscribed and sworn to before me this _______ day of __________________, ______

Year

seal

_____________________________________

Notary Public

Revised 12/19/2000

FILING FEE: $5.00

Assignment Of Registration Form - Secretary Of Form