Statement Of Transfer Of Trademark Registration Transferring A Trademark To A Reporting Entity
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1
2Form must be filed electronically.
Paper forms are not accepted.
This copy is a sample and cannot be submitted for filing.
Statement of Transfer of Trademark Registration
Transferring a Trademark to a Reporting Entity
filed pursuant to § 7-70-106 of the Colorado Revised Statutes (C.R.S.)
1. The entity ID number, if applicable, and the true name of the trademark registrant transferring the
trademark are
Entity ID number
__________________________
(if applicable)
(Colorado Secretary of State ID number)
True name
______________________________________________________.
2. The trademark ID number and the trademark as stated in the statement of trademark registration are
Trademark ID number
__________________________
(Colorado Secretary of State ID number)
Trademark
______________________________________________________.
3. The transferee’s entity ID number, true name, form of entity and jurisdiction under the law of which such
transferee is formed are
ID Number
_________________________
(Colorado Secretary of State ID number)
True name
______________________________________________________
Form of entity
______________________________________________________
Jurisdiction
______________________________________________________.
4.
(Mark the applicable box. Caution: Mark only one box.)
Such registrant has transferred to such transferee the rights to the trademark, including all associated
goodwill, to which such statement of trademark registration pertains.
OR
Such transferee has by operation of law succeeded to the rights to the trademark, including all
associated goodwill, to which such statement of trademark registration pertains.
5.
(If applicable, adopt the following statement by marking the box and include an attachment.)
This document contains additional information as provided by law.
6.
(Caution: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has significant
legal consequences. Read instructions before entering a date.)
(If the following statement applies, adopt the statement by entering a date and, if applicable, time using the required format.)
The delayed effective date and, if applicable, time of this document are ___________________________.
(mm/dd/yyyy hour:minute am/pm)
TDMK_TRF_RE
Page 1 of 2
Rev. 01/01/2008
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