Form Tma-1-1.0 - Application For A Certificate Of Registration Of A Trade Or Service Mark Page 3

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INSTRUCTIONS
The following series of instructions have been compiled to assist you in completing the Application for Registration of a
Connecticut Trade or Service Mark form. Numbers appearing on this instruction correspond with numbered blanks
appearing on the form.Examples provided in these instructions are fictitious and have been included to illustrate
applications of the instructions provided.
1. Name of Owner of Mark - Provide full legal name of the individual or organization who or which actually owns the mark.
2. Address of owner of Mark - Provide full street address of mark's owner. Include street, city, state and zip code.
3. State or Country of Formation of the Owner - Complete only if owner is not a natural person by providing the owner's
state of formation.
A. Note: if the owner of the mark is a partnership, it must attach a list of its partners to the application.
4. Description of the Mark - Provide in words, a full description of the mark intended to be registered.
A. If the mark is composed of words alone, the description need only restate those words.
1. Example - The mark is SPINTECH. The description is SPINTECH.
B. Logos, pictorial features, colors, or distinctive print styles, which are components of the mark, must be described in
writing.
1. Example description - SPINTECH appearing in yellow block letters in the center of three horizontally arrayed
silver gears.
C. Please note that the written description defines the registration. All searches conducted by this office are based
upon the written description. It is important, therefore, to include all relevant description of the mark in item number 4.
Drawings or references to attached specimens will not substitute for a full written description and must not
appear in item number 4.
5. The goods or services on or in connection with which the mark is used - Provide the type of the goods or services,
which the mark identifies. This is usually a description of what the owner produces, e.g., Tires for a manufacturer of
Tires - Real Estate Services for a Real Estate Agency.
6. Disclaimers - The exclusive right to use any generic, descriptive or geographically descriptive terms or features of the
mark must be disclaimed on the application. If such terms or features are not disclaimed, the application will have
to be returned for correction. Whether or not components of a mark must be disclaimed depends largely upon the
goods or services in connection with which it is used.
A. Example -
1. The mark is described as: The words "Quickie Grocery of Meriden" contained within a bright orange triangle.
2. The services in connection with which the mark is used is: Grocery store services.
3. The disclaimer required is: The owner hereby disclaims the exclusive right to use the terms "Grocery" & Meriden".
7. The class of goods or services - Select from the list of classes provided in section 35-11h of the Connecticut General
Statutes. (This list has been reproduced for your convenience and included within the application package).
A. Select the class into which the goods or services stated in item number 7 fall. If your mark identifies goods, select
a class from the group of trademark classes only. Otherwise, if your mark identifies services, select a class from
the group of service mark classes only.
B. If you cannot find a class into which your mark falls please choose the appropriate miscellaneous class, 20 for
goods, 42 for services.
C. Only one class may be selected per application. Separate applications must be completed for marks, which identify
multiple classes of goods or services.
8. The date on which the mark was first used anywhere - Provide month, day and year of the mark's first use anywhere.
A. The date of first use anywhere must precede the date on which the application is submitted.
9. The date on which the mark was first used in Connecticut -Provide month, day and year of the mark's first use in
Connecticut.
A. The date of first use in Connecticut must precede the date on which the application is submitted.
10. The mode, manner or method of applying, affixing or otherwise using the mark - Provide the answer to the question:
where is the mark placed to identify the goods or services.
11. Application for registration of the mark with the United States Patent and Trademark office - Answer the question
provided in this item "yes" or "no".
FORM TMA-1-1.0
DO NOT SCAN THIS PAGE
INSTRUCTIONS
Rev. 12/2010

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