Montana > Secretary Of State > Business Filing > Trademark
Statement Of Applicant Name Change For Trademark Or Service Mark - Montana
| Statement Of Applicant Name Change For Trademark Or Service Mark Form. This is a Montana form and can be used in Trademark Business Filing Secretary Of State . |
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STATE OF MONTANA STATEMENT of APPLICANT NAME CHANGE and/or ASSIGNMENT of APPLICANT for TRADEMARK or SERVICE MARK 30-13-315, MCA Prepare, sign, submit with an original signature and filing fee. This is the minimum information required. (This space for use by the Secretary of State only) MAIL: LINDA McCULLOCH Secretary of State P.O. Box 202801 Helena, MT 59620-2801 (406) 444-3665 (406) 444-3976 sos.mt.gov PHONE: FAX: WEB SITE: Required Filing fee: $20.00 24 Hour Priority Handling check box and Add $20.00 1 Hour Expedite Handling check box and Add $100.00 Whereas ________________________________________________________________________________________ (Person to whom the mark is currently registered with the Montana Secretary of State's office.) Of _________________________________________________ ___________________________________________ (Address) (City, state, zip) registered in the Office of Secretary of State of the State of Montana, the mark, known as: _________________________________________________________________________________________________ (Name of mark as it is registered with the Montana Secretary of State's office) Under Registration No. __________________________________________ Dated _________________________, and Whereas _________________________________________________________________________________________ (Person who is the new applicant or registrant.) Of ____________________________________________________ _________________________________________ (Address) (City, state, zip) Has acquired said mark and is one of the following (check & complete only one): An individual. A corporation. Identify name of state where incorporated _____________________________________________ An association. Attach a list of names of members and state of organization_______________________________ A partnership Attach a list of names of members and state of organization________________________________ A limited liability company. Identify the state of organization___________________________________________ A limited liability partnership. Identify the state of organization ________________________________________ A limited partnership Identify the state of organization _______________________________________________ Please Note: The applicant currently registered with the Montana Secretary of State's office must attest to the information contained in this document by signing & dating below. The person or entity to whom the mark was issued states under penalty of perjury, that the information contained in this Statement of Change of Applicant Name and/or Applicant Assignment of Trademark or Service Mark is true and correct. Signature______________________________________________________________ _________________________ Must be signed by person or entity official to whom the mark was issued. Date Daytime Contact: Phone: __________________________ Email: ___________________________________________ sos.mt.gov/Business/Forms 75-Applicant_Name_Change_or_Assignment_of_Applicant_of_Mark.doc Revised: 11/14/2011 American LegalNet, Inc. www.FormsWorkFlow.com GENERAL INSTRUCTIONS Please type or print clearly when filling out this form. ALL INFORMATION PUBLIC All information provided, including names and addresses of the principals of the entity, will be made available on the Secretary of State's web site or upon request. LEGAL AND ACCOUNTING IMPLICATIONS There are important legal and accounting implications with respect to this entity's actions. Suitable legal and accounting advice should be secured before submission. The Secretary of State's office suggests that such advice be sought prior to filling out forms to be sure that you understand the terms and procedures. FORM PROCESSING TIME Please be advised that the Business Services Division of the Montana Secretary of State will process your business documents within 10 working days of receipt. During this period if it is determined that your document does not meet statutory requirements, a letter outlining the deficiencies will be returned to the original submitter. If the document is complete and correct, the document will be filed and a letter certifying the filing of the document will be returned to the original submitter. If you wish a "FILED STAMPED" copy of the document to be returned with the certification letter (at no additional fee), it will be necessary for you to submit the original and a copy of the document. Express Handling You may request 24 hour priority handling of your document by simply marking the "24 hour priority handling" box and include an additional $20.00 with your handling fee. You may request 1 hour expedite handling of your document by marking the "1 hour priority handling" box and include an additional $100.00 with your filing fee. Please note: If your documents are returned for deficiencies and upon resubmittal you request either of the Express Services you must also remit a new priority ($20.00) or expedite ($100.00) handling fee. SUBMISSION Make checks payable to the Secretary of State. Upon completion, mail with ORIGINAL SIGNATURE to: Secretary of State PO Box 202801 Helena, MT 59620-2801 CONTACT US If you have any questions regarding this form, please contact the Secretary of State, Business Services Division at (406) 444-3665. DO NOT STAPLE PAYMENT TO FILING FORM updated: 10/25/2011 American LegalNet, Inc. www.FormsWorkFlow.com
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