Statement Of Correction Of Trademark Information

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Form must be filed electronically.
Paper forms are not accepted.
This copy is a sample and cannot be submitted for filing.
Statement of Correction of Trademark Information
Correcting Registered Agent Information
filed pursuant to § 7-90-305 and § 7-90-703 of the Colorado Revised Statutes (C.R.S.)
1. The trademark ID number, the true name of the trademark registrant, and the trademark as stated in the
statement of trademark registration are
Trademark ID number
__________________________
(Colorado Secretary of State ID number)
True name
______________________________________________________
Trademark
______________________________________________________.
2. The document number of the filed document that is corrected is __________________________________.
3.
(If applicable, adopt the following statement by marking the box and enter all corrections.)
The registered agent name as stated in the document identified above is incorrect.
Such name, as corrected, is
Name
(if an individual)
____________________ ______________ ______________ _____
(Last)
(First)
(Middle)
(Suffix)
OR
(if an entity)
______________________________________________________
(Caution: Do not provide both an individual and an entity name.)
The person appointed as registered agent has consented to being so appointed.
4.
(If applicable, adopt the following statement by marking the box and enter all corrections.)
The street address of such registered agent as stated in the document identified above is incorrect.
Such street address, as corrected, is
Street address
______________________________________________________
(Street number and name)
______________________________________________________
__________________________
CO
____________________.
(City)
(State)
(Zip Code)
5.
(If applicable, adopt the following statement by marking the box. Enter all corrections OR mark the box to remove the mailing address.)
The mailing address of such registered agent as stated in the document identified above is incorrect.
Such mailing address, as corrected, is
Mailing address
______________________________________________________
(Street number and name or Post Office Box information)
______________________________________________________
__________________________
CO
____________________.
(City)
(State)
(Zip Code)
TDMK_CORRECT_RA
Page 1 of 2
Rev. 1/01/2008

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