Kansas > Secretary Of State > Business Entities > Trade-Mark - Service-Mark
Trademark Or Service Mark Cancellation TSC - Kansas
| Trademark Or Service Mark Cancellation Form. This is a Kansas form and can be used in Trade-Mark - Service-Mark Business Entities Secretary Of State . |
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TSC 58-05 kansas secretary of state Trademark or Service Mark Cancellation Instructions The following form must be complete and accompanied by the correct filing fee or the document will not be accepted for filing. Kansas Office of the Secretary of State: Memorial Hall, 1st Floor 120 S.W. 10th Avenue Topeka, KS 66612-1594 (785) 296-4564 kssos@sos.ks.gov www.sos.ks.gov Stay up-to-date on your trademark or service mark status, expiration date, and contact address at www.sos.ks.gov. o o Filing fee Payment The fee for this cancellation is $15. Please enclose a check or money order payable to the Secretary of State. Forms received without the appropriate fee will not be accepted for filing. Please do not send cash. NOTICE: There is a $25 service fee for all checks returned by your financial institution. Also, to expedite processing, please do not use staples on your documents or to attach checks. Inst. K.S.A. 81-210 Rev. 04/25/11 jdr Please proceed to form. American LegalNet, Inc. www.FormsWorkFlow.com TSC 58-05 kansas secretary of state Trademark or Service Mark Cancellation This form must be complete and accompanied by the correct filing fee or the document will not be accepted for filing. Stay up-to-date on your trademark or service mark status, expiration date, and contact address at www.sos.ks.gov. THIS SPACE FOR OFFICE USE ONLY. 1. 2. 3. Trademark or service mark ID number Trademark or service mark name Name of current registrant/owner 4. Address of current registrant/owner Address Address will be used to send official mail from the Kansas Secretary of State's Office. Do not leave blank. City State Zip Country o Check this box if this is a new address. Our records will be updated only if this box is checked. 5. I cancel said trademark or service mark for the following reason: 6. I declare under penalty of perjury pursuant to the laws of the state of Kansas that the foregoing is true and correct, and that I have remitted the required fee. Month Day Year Signature of Registrant / Owner X Name of Registrant / Owner (printed or typed) Phone Number 1/1 K.S.A. 81-210 Rev. 04/25/11 jdr Please review to ensure completion. American LegalNet, Inc. www.FormsWorkFlow.com
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