Ed Murray
Wyoming Secretary of State
2020 Carey Avenue, Suite 700
For Office Use Only
Cheyenne, WY 82002-0020
Ph. 307.777.7311
Fax 307.777.5339
Email:
Business@wyo.gov
Assignment of Trademark Registration
WHEREAS
, of
(name of assignor)
has adopted, used
(address)
and is using the mark which is registered with the Secretary of State, Registration Number
; and
WHEREAS
of
(assignee)
is desirous of
(address)
acquiring said mark and registration thereof;
NOW, THEREFORE, for good and valuable consideration, receipt of which is hereby acknowledged said
does hereby assign unto said
(assignor)
all right, title and interest in and to
(assignee)
said mark, together with the good will of the business in which the trademark is used (or that part of the good will of the
business connected with the use of and symbolized by the trademark) and the Registration Number
thereof.
Assignor Signature: _______________________________
Date:
(mm/dd/yyyy)
Print Name:
Contact Person:
Email:
Daytime Phone Number:
(Email provided will receive filing evidence)
*May list multiple email addresses
Checklist
Filing Fee: $25.00 Make check or money order payable to Wyoming Secretary of State.
Enclose a facsimile of the mark as it is actually used.
Please submit one originally signed document.
Please review form prior to submitting to the Secretary of State to ensure all areas have been completed to avoid
a delay in the processing of your documents.
TM-Assignment – Revised October 2015