Application For Registration Of A Trademark Or Service Mark Form - South Carolina Secretary Of State Page 3
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7(9) Date of first use. Both blanks must be completed, and dates must include the month, day, and year. A mark must
be currently in use before it can be registered.
(10) Registration with the United States Patent and Trademark Office (USPTO) - If you have ever submitted an
application to register any portion of this mark with the USPTO, please check “yes.” If so, you must provide
complete information regarding the filing date, serial number, and status of each application. If the application was
refused or was not registered for some other reason, please explain. If you have never submitted an application to
the USPTO for this mark, check “no.”
(11) Specimens - Three specimens of the mark as actually used in trade must be submitted with this application. The
specimens must reflect the mark as described in answer to question (5) of this application. If specific colors are
being claimed as a part of the mark, the specimens must be in color. Please submit three (3) identical specimens
that show the mark as actually used in trade. Please note that letterhead, business cards, or invoices are not
acceptable specimens for a trademark. Computer generated images and printer’s proofs are not acceptable
specimens for either trademarks or service marks.
The following specimens are acceptable for a trademark:
■ 3 identical photographs of the goods that show the mark on the goods; OR
■ 3 tags or labels for the goods; OR
■ 3 containers for the goods; OR
■ 3 identical photos of a display associated with the goods.
The following specimens are acceptable for a service mark:
■ 3 actual business cards or pieces of letterhead showing the mark in connection with the service; OR
■ 3 identical photos of a sign; OR
■ 3 original brochures about the service (including menus); OR
■ 3 advertisements for the service (including advertisements from newspapers or magazines); OR
■ 3 color print-outs of the mark used on the applicant’s Website; OR
■ 3 identical photographs that show the mark as used in advertising the service (e.g. photos of a billboard).
Part 3: Declaration of Ownership
Signature and Notarization - The Applicant (owner of the mark) must sign the application and include his or her printed
name, title, telephone number and date. The Applicant must complete the Declaration of Ownership in the presence
of a notary public. The date that the Applicant signs the form and the date on which the form is notarized MUST BE
THE SAME. By signing this form the Applicant is agreeing to all of the language in the “Declaration of Ownership,” and
affirming that all information given is truthful.
Submit the completed application, the proper filing fee, and three (3) identical specimens to the address below. If you
would like a stamped copy of your application returned to you, you must provide one additional copy of the application.
Payment may be made by cash or check made payable to the SC Secretary of State’s Office. Do not mail cash. If you are
hand delivering the registration and paying with cash, you must have the exact amount. Starter checks are not accepted
by the office.
Please mail your completed application, specimens and payment to:
South Carolina Secretary of State
Attn: Trademarks Division
1205 Pendleton Street, Suite 525
Columbia, SC 29201
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