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Assignment Of Trademark Or Service Mark 603 - Michigan

Assignment Of Trademark Or Service Mark Form. This is a Michigan form and can be used in Trademark Service Mark And Insignias Corporation Division Secretary Of State .
 Fillable pdf Last Modified 12/12/2011
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BCS/CD-603 (Rev. 11/11) MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF COMMERCIAL SERVICES Date Received (FOR BUREAU USE ONLY) ASSIGNMENT OF TRADEMARK/SERVICE MARK (Please read information and instructions on last page) Pursuant to the provisions of Act 242, Public Acts of 1969, as amended, the undersigned executes the following application: 1. This application is for the purpose of registering a: (Check only one) Trademark Service Mark 2. The Mark consists of: a) Please mark only one: Words Only 2. The Mark consists of: Words and Design Design Only b) The words in the mark are (if applicable): 3. The Mark identification number is: M 4. The classification code of the mark is: (Only one class should be listed per document) 5. Assignor: a) The name of the individual or business entity who currently owns the Mark is: b) The business address of the owner is: 6. Assignee: a) The name of the individual or business entity who is assigned to the Mark is: (Only one name should be provided) b) The business address of the assignee is: Complete item 7 only if the assignee name in item 6a is a corporation. 7. The state of incorporation is: 8. The assignor does hereby assign to said assignee the mark, its registration, and (check one only): The goodwill of the business in which the mark is used. The part of the goodwill of the business connected with the use of and symbolized by the mark. Signed this Signature day of Type or Print Name , Type or Print Title . American LegalNet, Inc. www.FormsWorkFlow.com BCS/CD-603 (Rev. 11/11) Preparer's Name Business telephone number ( ) INFORMATION AND INSTRUCTIONS 1. This assignment cannot be recorded until this form, or a comparable document, is submitted. 2. Submit one original of this document. Upon filing, the original and a Certificate attesting to the assignment will be returned to the assignee. 3. Since this document will be maintained on electronic format, it is important that the filing be legible. Documents with poor black and white contrast, or otherwise illegible, will be rejected. 4. This form is to be used pursuant to Section 6 of Act 242 of 1969 for the purpose of assigning a mark and its registration. The assignment must be either the goodwill of the business in which the mark is used or the part of the goodwill of the business connected with the use of and symbolized by the mark. 5. Item 2 - Check the box next to the type of mark being assigned. If the mark contains words, complete item 2(b). 6. Item 3 - Enter the identification number previously assigned by the Bureau. 7. Item 4 - State the classification number for the goods or services in connection with which the mark is used. This number may be obtained from the Certificate of Registration for the mark. Only once classification code should be provided per document. 8. This Assignment must be signed in ink by: Individual - by the assignor. Corporation - by an authorized officer or agent. Limited Liability Company - by a manager if management is vested in one or more managers or by a member if management is reserved for members. Partnership - by a partner. 9. FEE: Make remittance payable to the State of Michigan............................................................................................$15.00 Submit with check or money order by mail: Michigan Department of Licensing and Regulatory Affairs Bureau of Commercial Services Corporation Division P.O. Box 30054 Lansing, MI 48909 To submit in person: 2501 Woodlake Circle Okemos, MI 48864 Telephone: (517) 241-6470 Fees may be paid by check, money order, VISA or Mastercard when delivered in person to our office. LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities. American LegalNet, Inc. www.FormsWorkFlow.com
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