Form C-246.4 - Trademark Or Servicemark Application printable pdf download

STATE OF ILLINOIS

TRADEMARK OR SERVICEMARK APPLICATION

Complete and Return with $10 Fee and Three Specimens

Must be typewritten or legibly printed in black ink

1. Name of Registrant (Owner of the Mark) ________________________________________________________________

2. Business Address _______________________________________________________________________________

Street

_________________________________________________________________________________________________

City

State

ZIP Code

3. Is registrant a (check one)

Corporation

Union

General Partnership

Limited Liability Partnership (LLP)

Individual

Association

Limited Partnership (LP)

Limited Liability Company (LLC)

Other (specify) ______________________________________________

4. A. If a Corporation, LP, LLP, or LLC, in what state is it organized? __________________________________________

B. If an LP or LLP, what is the name of one of the general partners? ________________________________________

_____________________________________________________________________________________________

5. Name of mark __________________________________________________________________________________

__________________________________________________________________________________________________

6. Describe the specific goods or services in connection with which mark is used (provided by the mark)_____________

______________________________________________________________________________________________

7. *Class No. _____________________________ (One classification number only; classes are listed on the back.)

8. A. If a Trademark, check how the mark is used. (check as many as apply) By applying it: directly to the goods

______ , directly to the containers for the goods ______ , to tags or labels affixed to the goods ______ , to tags or

labels affixed to the containers for the goods _____ , or by displaying it in physical association with the goods

in the sale or distribution thereof ______ .

B. If a Servicemark, check how the mark is used. (check as many as apply) By displaying it: in advertisements of the

service ______ , on documents, wrappers, or articles delivered in connection with the service rendered

______ , in other fashion ______ , if so, (specify): ____________________________

9. Date of the first use of mark by applicant or predecessor. Mark must be used in Illinois prior to registration. (If first use

of mark was in Illinois, use same date in both A and B.)

A. Anywhere _______________________________ (month, day, and year)

B. In Illinois _______________________________ (month, day, and year)

10. If either of the above first uses was by a predecessor of applicant, state which use or uses were by a predecessor and

identify predecessor _____________________________________________________________________________

The applicant hereby appoints the Secretary of State of Illinois as agent for service of process in an action relating only

to the registration which may be issued pursuant to this application if the registrant be, or shall become, a non-resident

individual, or foreign partnership, limited liability company, association, or corporation not licensed to do business in this State,

or cannot be found in this State.

Form C-246.4 - Trademark Or Servicemark Application

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