Name Change Of Registered Mark Owner - Connecticut Secretary Of State
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1OFFICE OF THE SECRETARY OF THE STATE
30 TRINITY
STREET
P.O. BOX 150470
HARTFORD, CT 06 115-0470
NAME CHANGE
OF REGISTERED
MARK OWNER
Rev. 1211999
1. Current Name of Record Owner:
2. State of Formation of the Owner ifother than a natural person.
3. Connecticut Registration Number:
4. The name of the mark’s owner been changed to:
EXECUTION:
I hereby declare under the penalties of false statement that the statements made in
the foregoing application is true.
4.
5,
6.
Date
Name of Signatory
Title of Signatory ifapplicable
7.
Signature
8. The owner must submit three specimens or photographs of the mark as actually used in this state.
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