Trademark Or Service Mark Renewal Application Page 2

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The undersigned hereby declares, under penalties of perjury, that the statements contained in the foregoing renewal application are true, that
said registrant is the owner of the Mark, and that the Mark is still in use in the State of Illinois in the manner described in this renewal
application.
X _____________________________________________
_______________________________________________
Signature of Applicant
Typed or Printed Name of Registrant
______________________________________________
_______________________________________________
Title of Applicant
Contact Phone Number
INSTRUCTIONS FOR RENEWAL APPLICATION [TM/SM-30]
NOTES:
The renewal form must be typed, laser-printed or legibly printed in black ink.
A $5 renewal fee must accompany the completed application in the form of a check or money order payable to Illinois
Secretary of State.
The renewal application must be accompanied by three (3) examples of the Mark and the renewal fee. Examples should not
be stapled, glued or taped to the application.
If the Mark has been changed or is no longer in use as registered, the Mark cannot be renewed.
INSTRUCTIONS:
1.
Provide the name of the Registrant/Owner of the Mark as it currently appears on the records of the Trademark/Service Mark
office. This information appears on the Renewal Notice as well as on the previously issued certificates, i.e., the Certificate of
Registration or any previous Certificate of Renewal for the specific Mark.
2.
Mark the appropriate box for the type of ownership of the Mark as it currently appears on the records of the Trademark/Service
Mark office.
3.
Items 3a and/or 3b should be completed ONLY if the Registrant is one of the types of business entities listed in item 2.
4.
Provide the business and mailing addresses. Renewal correspondence will be sent to the mailing address.
5.
Provide the registration number assigned to this Mark and the original date of registration with the State of Illinois
Trademark/Service Mark office. Please note this is not the Date of First Use by the owner of the Mark.
6.
The name of the Mark, as originally registered, must be provided in this section.
7.
Provide the goods or services as named on the registration application.
Signature and Contact Information: The renewal application must exhibit an original signature of the Registrant or the Attorney-in-Fact
for the Registrant. By signing the renewal form the signer is declaring the Mark to be in continuous and current use in the normal course
of commerce in the State of Illinois. Photocopies, stamped or faxed signatures are not accepted.
Specimens: The renewal application must be accompanied by three (3) examples of the Mark showing actual use in commerce in the State
of Illinois. For trademarks, excellent examples might include an actual label for the product, business cards, letterhead or advertisement.
For Service Marks, business cards, letterhead, brochures, fliers, advertisements are appropriate types of examples. Specimens that are
printed, written or drawn on plain paper are not acceptable examples. Also note that if color is a feature of the Mark, specimens reflecting
the actual color(s) must be submitted.
Duration and Renewal: Registrations are currently effective for a five-year period from the date of registration. A Renewal Notice and
Renewal Application will be sent to the Registrant at the mailing address indicated on the Registration Application. If there is a change of
address, it is the responsibility of the Registrant to notify the Trademark/Service Mark office. Renewals may only be accepted within 60 days
prior to the expiration date.

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