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Trademark Or Service Mark Application - Arizona

Trademark Or Service Mark Application Form. This is a Arizona form and can be used in Tradename-Trademark Secretary Of State .
 Fillable pdf Last Modified 5/11/2012
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DO NOT WRITE IN THIS SPACE State of Arizona Trademark/Service Mark Application Mail to: Arizona Secretary of State Ken Bennett Attention: Business Services, TrademarkDivision 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 Trademark is a public record and does not constitute exclusive rights to the holder of the Mark. FOR OFFICE USE ONLY ­ REV. 10/01/11 TRADEMARK APPLICATION About this Application First time applicants applying for a Trademark or Service Mark under A.R.S. §§ 44-1441 to 44-1455 use this form. Applicants who are renewing a Trademark on file shall use the Trademark Renewal Form. Filing Fee: $15; expedited service, an additional $25 fee Payment: Checks or money orders shall be made payable to the Secretary of State. Credit cards are not accepted. Processing: 2-3 weeks; expedited service, usually 24-48hrs Address Change: If you relocate, please remember to complete an 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 Trademark 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. Sign and date the application and have it notarized. 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 1. Trademark/Service Mark information to be registered Written Description: Provide an accurate written description of your mark (logo or symbol) 2. Name of entity or individual to which the trademark will be registered. If owner is an individual, list the individual's name; if the owner is a corp, list the corporation's name; etc If two applicants, list both. nd 2 Applicant Name 1 Applicant Name st Mailing Address (include street, box or suite number) City State Zip Code Products or Goods: Provide a description of goods on which this mark is used Business Phone Number - optional (include area code) What type of entity will function as the owner of this trademark? 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 Corp, 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. The date in which the Mark was first used Month Day Year Date Mark was first used in the state of Arizona. This Month Day Year by the applicant. date must be today's date or prior to today's date. Office Form SOSBSTM.doc Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com State of Arizona TRADEMARK/SERVICE MARK REGISTRATION FORM Arizona Secretary of State's Office 3. Trademark/Service Mark Samples Attach three samples of the trademark/service mark with this application on 8 1/2 by 11 inch (letter) paper that can be photocopied clearly. Examples: letterhead, business card, advertisement, etc. Classification Number(s): refer to the Trade Name & Trademark book : 4. Applicant's Signature If two applicants are listed above, both must sign. 1 Signer's Printed Name st Signature Month Day Year 2 Signer's Printed Name nd Signature Month Day Year State of Arizona County of ___________________ ) ) 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. You must include a photocopy of a valid U.S. ID I have enclosed a check or money order for $15 made payable to "Secretary of State" I have attached three samples with this registration form as requested in Section 3. Office Form SOSBSTMapptm.doc Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com
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