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Application For Registration Of Trademark Or Service Mark DSCB 15-1112 - Pennsylvania
| Application For Registration Of Trademark Or Service Mark Form. This is a Pennsylvania form and can be used in Trademarks Department Of State . |
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PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF CORPORATIONS AND CHARITABLE REGISTRATIONS Application for Registration of Trademark or Service Mark (54 Pa.C.S. § 1112) Name Address City State Zip Code Document will be returned to the name and address you enter to the left. Fee: $50 In compliance with the requirements of the 54 Pa.C.S. § 1112 (relating to application for registration), the undersigned, having adopted and used a trademark or service mark in this Commonwealth and desiring to register such mark, hereby states that: 1. The name of the applicant is (see instruction A): 2. The residence, location or place of business of the applicant is (see instruction B): Number and street City State Zip County 3. The name and description of the mark is (a facsimile of the mark to be registered accompanies this application as Exhibit A and is incorporated herein by reference): 4. General class in which such goods or services fall is (use only one of the classifications as set forth in the general classes of goods and services established by the United States Patent and Trademark Office and set forth in instruction G): American LegalNet, Inc. www.FormsWorkFlow.com DSCB:54-1112 2 5. The goods or services on or in connection with which the mark is used and the mode or manner in which the mark is used on or in connection with such goods or services are: 6. The date when the mark was first used anywhere is: 7. The date when the mark was first used in this Commonwealth by the applicant or the predecessor in interest is: 8. The date, if any, an application to register the mark, or portions or a composite thereof, was filed by the applicant or a predecessor in interest in the United States Patent and Trademark Office. Also provide filing date and serial number of each application, the status thereof and, if any application was finally refused registration, or has otherwise not resulted in a registration, the reasons therefore. (Please attach 8½ x 11 sheet(s) if more space is needed.) 9. Applicant is the owner of the mark, the mark is in use and, to the applicant's knowledge, no other person has registered, either federally or in this Commonwealth or has the right to use such mark, either in the identical form thereof or in such near resemblance thereto as to be likely, when applied to the goods or services of such other person, to cause confusion or to cause mistake, or to deceive. IN TESTIMONY WHEREOF, the undersigned person has caused this Application for Registration of Mark to be executed this day of , . _________________________________________ Name of Applicant _________________________________________ Signature _________________________________________ Title Rev 11/2010 American LegalNet, Inc. www.FormsWorkFlow.com DSCB:54-1112-3 Department of State Bureau of Corporations and Charitable Organizations P.O. Box 8722 Harrisburg, PA 17105-8722 (717) 787-1057 web site: www.dos.state.pa.us/corps Instructions for Completion of Form: A. If a corporation, set forth the name in Paragraph 1 and also give jurisdiction of incorporation. If a partnership, set forth the name in Paragraph 1 and also give the jurisdiction in which the partnership is organized and the names of the general partners. B. The name of a commercial registered office provider may not be used in Paragraph 2 in lieu of an address. C. An application for registration of a mark is limited to a single general class of goods or services, but a mark may be made the subject of multiple registrations in two or more general classes. (See general classes of goods and services established by the United States Patent and Trademark Office in accordance with the International Classification System, as listed in G below). D. Typewritten is preferred. If not, the form must be completed in black ink in order to permit reproduction. The filing fee for this form is $50 made payable to the Commonwealth of Pennsylvania. Checks must contain a commercially pre-printed name and address. E. This registration is effective for a term of five years from the date of registration. Application to renew for a similar term must be made on form DSCB:54-1114 (Application for Renewal of Registration of Mark) within six months prior to the expiration of such term. F. This form and all accompanying documents shall be mailed to the address listed above. G. Schedule of classes of goods and services GOODS CLASS 1 Chemicals Chemicals used in industry, science and photography, as well as in agriculture, horticulture and forestry; unprocessed artificial resins, unprocessed plastics; manures; fire extinguishing compositions; tempering and soldering preparations; chemical substances for preserving foodstuffs; tanning substances; adhesives used in industry. CLASS 2 Paints Paints, varnishes, lacquers; preservatives against rust and against deterioration of wood; colorants; mordants; raw natural resins; metals in foil and powder form for painters, decorators, printers and artists. CLASS 3 Cosmetics and cleaning preparations Bleaching preparations and other substances for laundry use; cleaning, polishing, scouring and abrasive preparations; soaps; perfumery, essential oils, cosmetics, hair lotions; dentifrices. CLASS 4 Lubricants and fuels Industrial oils and greases; lubricants; dust absorbing, wetting and binding compositions; fuels (including motor spirit) and illuminants; candles and wicks for lighting. CLASS 5 Pharmaceuticals Pharmaceutical and veterinary preparations; sanitary preparations for medical purposes; dietetic substances adapted for medical use, food for babies; plasters, materials for dressings; material for stopping teeth, dental wax; disinfectants; preparations for destroying vermin; fungicides, herbicides. American LegalNet, Inc. www.FormsWorkFlow.com CLASS 6 Metal goods Common metals and their alloys; metal building materials; transportable buildings of metal; materials of metal for railway tracks; non-electric cables and wires of common metal; ironmongery, small items of metal hardware; pipes and tubes of metal; safes; goods of common metal not included in other classes; ores. CLASS 7 Machinery Machines and machine tools; motors and engines (except for land vehicles); machine coupling and transmission components (except for land vehicles); agricultural implements other than hand-operated; incubators for eggs. CLASS 8 Hand tools Hand tools and implements (hand-operated); cutlery; side arms; razors. CLASS 9 Electrical and scientific appara
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