Arizona > Secretary Of State > Tradename-Trademark
Assignment Of Trade Mark Application - Arizona
| Assignment Of Trade Mark Application Form. This is a Arizona form and can be used in Tradename-Trademark Secretary Of State . |
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DO NOT WRITE IN THIS SPACE State of Arizona Assignment of Trade Mark Application Mail to: Arizona Secretary of State Ken Bennett Attention: Business Services, Trade Name Division 1700 W. Washington Street, 7th Fl., Phoenix, AZ 85007-2888 (602) 542-6187 (800) 458-5842 (within Arizona) Website: www.azsos.gov The registration of a Trademark is not legally required in Arizona, but is an accepted business practice. The registration of a Trade Name is a public record and does not constitute exclusive rights to the holder of the name. FOR OFFICE USE ONLY REV. 10/01/2011 ASSIGNMENT OF TRADE MARK APPLICATION About this Application This form is for an assignment of a Trade Mark under A.R.S. § 44-1446. The Assignee and Assignor must sign the application and have it notarized. Filing Fee: $15 Payment: Checks or money orders shall be made payable to the Secretary of State. Credit cards are not accepted. Processing: 2-3 weeks Address Change: If you relocate, please remember to complete the amendment form to update the new address with our office. How to complete this form To avoid registration errors please write legibly or computer generate this application. This form has been designed to be filled out and printed online at the website referenced above. Read this application carefully, and fill in all blank spaces. File by mail with payment to the address above, or Return in person at the following locations: PHOENIX - State Capitol TUCSON - Arizona State Complex Executive Tower Building 1700 W. Washington Street 400 W. Congress First Floor, Room 103 Second Floor, Room 252 Open Monday - Friday, 8 a.m. - 5 p.m., except state holidays. SPACE BELOW FOR OFFICE USE ONLY - VALIDATION AREA You must include a photocopy of a valid U.S. ID 1. Name, title or designation to be assigned Trade Mark Number: Trade Mark Description: Assignee. Check One. What type of entity will function as the owner of this trade mark? INDIVIDUAL PARTNERSHIP CORPORATION* FOREIGN CORPORATION (Licensed to do business within Arizona) ASSOCIATION LIMITED LIABILITY COMPANY (LLC)* ORGANIZATION OTHER (If other, please indicate type below) ______________________________________ *If choosing LLC or Corporation, the signer must be listed on the Arizona Corporation Commission's website as a member or officer. If either is checked and not currently incorporated, the application will be returned. 2. Assignee/Assignor names If owner is an individual, list the individual's name If two applicants, list both; if the owner is a corporation, list the corporation's name; etc. Assignee Name(s) (entity or individual to who the name will be assigned) Assignor name(s) (entity or individual who currently functions as owner) Assignee Mailing Address (include street, box or suite number) Assignor Mailing Address (include street, box or suite number) City State Zip Code Telephone No. City State Zip Code 3. Assignee and Assignor Signatures -nBoth must sign. Be it known for good and valuable consideration in hand paid, the receipt of which is hereby acknowledged, the identified Assignor together with the good will of the business in connection with which the said trade name is used by these present does sell, assign and transfer unto the identified Assignee the entire right, title and interest in and to the identified trade name. Assignee's Printed Name Assignee's Signature State of Arizona County of ___________________ ) ) Assignor's Printed Name Assignor's Signature State of Arizona County of ___________________ ) ) On this ______ day of ________________________, 20 ____ __________________________________________________ (Name of Signer Appearing Before Notary) On this ______ day of ________________________, 20 ____ __________________________________________________ (Name of Signer Appearing Before Notary) personally appeared before me and acknowledged that he/she signed this document for it's stated purpose. ___________________________ (Notary Public) personally appeared before me and acknowledged that he/she signed this document for it's stated purpose. ___________________________ (Notary Public) American LegalNet, Inc. www.FormsWorkFlow.com Office Fo rm SO S BST NA.doc State of Arizo na - Assignm ent o f T rade Na me Ap plic ation
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