Assignment Of Trademark Of Service Mark Registration Sample Form printable pdf download

Assignment Of Trademark Of Service Mark Registration Sample Form

ASSIGNMENT OF A TRADEMARK OR SERVICE MARK

An assignment is filed when the owner of record has relinquished ownership of the mark.

An assignment is always required when the entity type has changed.

(See Sample Assignment Form)

Item 1

Name of Assignor: The Assignor is the individual or entity to whom the mark is currently registered.

Item 2

Address of Assignor: Indicate the address of the Assignor.

Registered Marks: Indicate the registered mark(s) and submit a non-refundable fee of $30.00 made payable to the

Item 3

Treasurer of Virginia for each mark to which the assignment applies.

Item 4

Name of Assignee, entity type, and state or jurisdiction of formation: The Assignee is the individual or entity to

whom the mark is being assigned. Select one of the entity types below that best identifies the type of entity of the

Assignee.

Corporation

Corporation of the Commonwealth

Federal Agency

General Partnership

Federally Chartered Savings Bank

Individual

Limited Liability Company

Limited Liability Partnership

Limited Partnership

Local Government Authority

Municipal Corporation

National Banking Association

Non Public Corporation

Partnership

Real Estate Investment Trust

Sole Proprietorship

State Agency

Unincorporated Association

Item 5

Address of Assignee: Indicate the address of the Assignee.

Name of Assignor: Indicate the name of the Assignor.

Item 6

Item 7

Name of Assignee: Indicate the name of the Assignee.

Item 8

Signature of Assignor: The assignment must be signed and dated.

Additional assistance can be obtained by calling (804) 371-9051 or at

Mailing address: Division of Securities & Retail franchising, PO Box 1197, Richmond, VA 23218

Assignment Of Trademark Of Service Mark Registration Sample Form