Application For Registration Of A Trademark Or Service Mark Form - South Carolina Secretary Of State Page 7

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11. Please enclose three (3) original, identical specimens showing the mark as actually used in promoting the product,

good or service (for example, three (3) identical brochures OR three (3) identical photos of a T-shirt). The specimens

must reflect the mark as described in answer to question (5) of this application.

Letterhead, business cards, or invoices are

not acceptable specimens for a trademark. Computer generated images and printer’s proofs are not acceptable specimens for a

trademark or a service mark.

The following specimens are acceptable for a trademark:

■ 3 identical photographs of the goods that show use of 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 actual 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 (example: a photograph of a billboard).

Part 3: Declaration of Ownership

Applicant herewith declares that he/she has read the above and foregoing application and knows the contents thereof

and that the facts set out herein are true and correct, that the three (3) specimens of the mark submitted are true and

correct, that the applicant is the owner of the mark, and that the mark is in use. Additionally, to the knowledge of the

person verifying this application, no other person has registered this mark either federally or in this State, or has the

right to use this mark in its identical form or in near resemblance as to be likely, when applied to the goods or services of

another person, to cause confusion or to cause mistake or to deceive.

Do not complete the “Declaration of Ownership” until you are in the presence of a notary public. Please note that the

“Notary” date and the “Signature” date must be the same; if not, the application will be rejected.

Sworn to and subscribed before me

Signature of Applicant

this _______day of _____________, 20

________________________________________

Printed Name of Applicant

Signature of Notary

Notary Public of State of

Title

My Commission Expires:

Telephone Number

Date

NOTE: THE ACCEPTANCE OF A TRADEMARK OR SERVICE MARK FOR REGISTRATION BY THE OFFICE OF THE SECRETARY OF STATE PROVIDES THE OWNER WITH A RIGHT TO USE SUCH MARK IN

THE STATE OF SOUTH CAROLINA ON THE GOODS AND SERVICES IDENTIFIED IN THE REGISTRATION APPLICATION. HOWEVER, THE OFFICE OF THE SECRETARY OF STATE IS NOT REQUIRED TO

SEARCH OTHER STATE OR FEDERAL REGISTRATIONS, INTERNET DOMAIN NAMES OR OTHER COMMON LAW (UNREGISTERED) USERS; THEREFORE, RIGHTS GRANTED BY THIS REGISTRATION

MAY BE AFFECTED OR PREEMPTED BY PRIOR USE OR OTHER REGISTRATION OF THE MARK.

Please mail your completed application, specimens and payment to:

South Carolina Secretary of State’s Office

Attn: Trademarks Division

1205 Pendleton Street, Suite 525

Columbia, SC 29201

TRADE-TRADEMARK REGISTRATION.DOC

FORM REVISED JULY 2016