Renewal Application Of Trade Or Service Mark Form 902 Page 4

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For Trademarks Only
For Service Marks Only
Actual Labels
Advertising Leaflets
Actual Tags
Advertising Brochures
Photographs of Goods/Containers Showing the
Mark
Menus Showing the Mark
Front Panels of a Paper Container Bearing the
Mark
Business Cards that Reference Services
Other:
___________________________
Other:
______________________
The mark has been and is still in use within the State of Texas by the registrant in the form and
manner specified in the present application. I certify under penalty of perjury under the laws of the
State of Texas that the foregoing is true and correct.
Signature and Verification
Date
Print
Reset
Signature of Authorized Person
Type or Print Name and Title of Officer, Partner,
or Other Authorized Person
TO BE COMPLETED BY A NOTARY PUBLIC:
STATE OF
)
COUNTY OF
)
On
_______________
, __________________________ personally appeared before me, and being first
duly sworn declared that he/she signed this application in the capacity designated, if any, and further
stated that he/she has read the above application and the statements therein are true and correct.
(seal)
NOTARY PUBLIC SIGNATURE
Form 902
4

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