Form F0024 - Trade And Service Mark Assignment Form 1996
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2F0024 - Page 1 of 2
OFFICE OF THE MISSISSIPPI SECRETARY OF STATE
P.O. BOX 136, JACKSON, MS 39205-0136
(601) 359-1333
*0024-1-
Trade and Service Mark Assignment
1. Registration number
2. The mark to be assigned is
3. ASSIGNOR:
Name
Indicate if Assignor is a corporation or other entity
Incorporated
State
and the State of incorporation or organization:
Organized
State
Address
City, State, ZIP5, ZIP4
-
4. ASSIGNEE:
Name
Indicate if Assignee is a corporation or other entity
Incorporated
State
and the State of incorporation or organization:
Organized
State
5. All right, title and interest in and to said mark, together with the good will of business in
which the mark is used (or that part of the good will of the business connected with the use
of the mark) is hereby assigned by
(the Assignor) to
(the Assignee).
page 1 of 2
[F0024] Rev. 11/96
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