THIS DOCUMENT MUST BE RECEIVED IN
THE SECRETARY OF STATE’S OFFICE ON
OR BEFORE MAY 25, 2007.
Document processing fee
If document is filed on paper
$125.00
If document is filed electronically
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are subject to change.
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for this form/cover sheet and other
information or print copies of filed
documents, visit
and select Business Center.
Paper documents must be typewritten or machine printed.
ABOVE SPACE FOR OFFICE USE ONLY
Assignment of Trademark
filed pursuant to §7-90-301, et seq. and
§7-70-105
of the Colorado Revised Statutes (C.R.S.)
ID number:
______________
Document number:
______________
(if different)
1. Trademark to be assigned:
(mark the appropriate box
:
Words ONLY OR
Words with OR
Words AND OR
DESIGN
and fill in the blank)
stylized
design*
ONLY*
lettering*
Trademark words or description:
(If trademark contains no words,
briefly describe the design)
_____________________________________________________________
2. Name of current registrant:
____________________ ______________ ______________ _____
(if an individual):
(Last)
(First)
(Middle)
(Suffix)
OR
(if a business organization):
______________________________________________________
Form of entity:
______________________________________________________
(if a business organization)
Jurisdiction of formation:
______________________________________________________
(if a business organization)
3. Registrant mailing address:
______________________________________________________
(Street name and number or Post Office Box information)
______________________________________________________
_
_
__
____ ____________ ____
__________________________
(City)
(State)
(Postal/Zip Code)
________ ___ ____________ ______________
(Province – if applicable)
(Country – if not US)
ASGN_TMSM
Page 1 of 3
Rev. 4/25/2007