Application For Renewal Of Mark

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Prepare, sign and submit an ORIGINAL AND COPY with fee.
STATE OF MONTANA
This is the minimum information required.
(This space for use by the Secretary of State only)
APPLICATION for RENEWAL of MARK
MAIL:
BOB BROWN
Secretary of State
P.O. Box 202801
Helena, MT 59620-2801

PHONE:
(406)444-3665
FAX:
(406)444-3976
WEB SITE:
Form: TM-REN
Filing Fee: $20.00
* *
Priority Filing Add $20.00
Please be advised that the Business Services Bureau of the Montana Secretary of State will process your business
documents within 10 working days of initial receipt. During this period if it is determined that your document does not
meet statutory requirements, a letter outlining the deficiencies will be returned to the original submitter. If the
document is complete and correct, the document will be filed and an acknowledgment copy showing completion
returned to the original submitter.
For the purpose of renewing its mark registration with the State of Montana, according to the provisions of 30-13-313, MCA, the undersigned submits
the following statements of fact to the Secretary of State.
1.
The essential feature of the mark to be renewed is _______________________________________________
and a facsimile or drawing is
Original Registration No. _____________________________________
attached.
(The mark must be identical to the mark originally registered.)
2.
The Class of the goods or services is (SEE REVERSE)__________________________________________
(The class must be identical to the class originally registered.)
3.
Name and Address of the Applicant: _______________________________________________________
______________________________________________________________________________
4.
The applicant is (check one and complete appropriate lines)
*
An Individual
*
A Partnership or Association and the names and addresses of partners/members:
______________________________________________________________________________
*
A Corporation
*
A Limited Liability Company
*
A Limited Liability Partnership
*
Other ________________________________________________
(Please Specify)
(COMPLETE APPROPRIATE AFFIDAVIT ON REVERSE SIDE)
s:\forms\tm-ren
Revised:01/02/2001

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