Statement Of Correction Of Trademark Information printable pdf download

Statement Of Correction Of Trademark Information

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 the Address for Service of Process by Appointing a Registered Agent

filed pursuant to § 7-90-305 and § 7-90-701, et seq. 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. The statement of a service of process address and the choice not to appoint a registered agent are incorrect

and are corrected by appointing a registered agent.

4. The registered agent name and registered agent address of the registered agent are

Name

(if an individual)

____________________ ______________ ______________ _____

(Last)

(First)

(Middle)

(Suffix)

(if an entity)

______________________________________________________

(Caution: Do not provide both an individual and an entity name.)

Street address

______________________________________________________

(Street number and name)

______________________________________________________

__________________________

____________________

(City)

(State)

(Zip Code)

Mailing address

______________________________________________________

(leave blank if same as street address)

(Street number and name or Post Office Box information)

______________________________________________________

__________________________

____________________.

(City)

(State)

(Zip Code)

The person appointed as registered agent has consented to being so appointed.

(If applicable, adopt the following statement by marking the box and include an attachment.)

This document contains additional information as provided by law.

Notice:

Causing this document to be delivered to the Secretary of State for filing shall constitute the affirmation or

acknowledgment of each individual causing such delivery, under penalties of perjury, that such document is

TDMK_CORRECT_APPOINT

Page 1 of 2

Rev. 1/01/2008

Statement Of Correction Of Trademark Information

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