Assignment Of A Trademark Or Service Mark Form Page 2
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1
2The following specimens are acceptable for a trademark:
■ 3 identical photographs of the goods that shows use of the mark on the goods; OR
■ 3 tags or labels for the goods; OR
■ 3 containers for the goods; OR
■ 3 identical photos of a display associated with the goods.
*Letterhead, business cards, or invoices ARE NOT acceptable specimens for a trademark.
9. Please enclose a copy of the contract or document, or portion thereof, in which the original Applicant
authorizes or provides for the assignment of the trademark or service mark described herein from the original
Applicant to the new Applicant.
Declaration of Ownership
Applicant herewith declares that he/she has read the above and foregoing application and knows the contents thereof and
that the facts set out herein are true and correct, that the three specimens of the mark submitted are true and correct, that
the Applicant is the owner of the mark, and that the mark is in use. Additionally, to the knowledge of the person verifying
this application, no other person has registered this mark either federally or in this State, or has the right to use this mark
in its identical form or in near resemblance as to be likely, when applied to the goods or services of another person, to
cause confusion or to cause mistake or to deceive.
Sworn to and subscribed before me
_______________________________________________
Signature
This _____ day of __________, ______.
_______________________________________________
day
month
year
Name
_________________________________
Notary Public of South Carolina
_______________________________________________
Title
My Commission Expires: ____________
_______________________________________________
Telephone Number
_______________________________________________
Date
NOTE
THE ACCEPTANCE OF A TRADEMARK OR SERVICE MARK FOR REGISTRATION BY THE OFFICE OF THE SECRETARY OF STATE PROVIDES
THE OWNER WITH A RIGHT TO USE SUCH MARK IN THE STATE OF SOUTH CAROLINA ON THE GOODS AND SERVICES IDENTIFIED IN THE
REGISTRATION APPLICATION. HOWEVER, THE OFFICE OF THE SECRETARY OF STATE IS NOT REQUIRED TO SEARCH OTHER STATE OR
FEDERAL REGISTRATIONS, INTERNET DOMAIN NAMES OR OTHER COMMON LAW (UNREGISTERED) USERS; THEREFORE, RIGHTS
GRANTED BY THIS REGISTRATION MAY BE AFFECTED OR PREEMPTED BY PRIOR USE OR OTHER REGISTRATION OF THE MARK.
Please mail your completed application, specimens, and payment to:
South Carolina Secretary of State’s Office
Attn: Trademarks Division
1205 Pendleton Street, Suite 525
Columbia, SC 29201
Form Revised by South Carolina
TRADE-TRADEMARK ASSIGNMENT REGISTRATION.doc
Secretary of State, January 2014
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