Maine > Secretary Of State > Mark
Application For Registration MARK-1 - Maine
| Application For Registration Form. This is a Maine form and can be used in Mark Secretary Of State . |
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Filing Fee $60 for one class, plus $10 for each additional class MARK STATE OF MAINE APPLICATION FOR REGISTRATION _____________________ Deputy Secretary of State A True Copy When Attested By Signature Pursuant to 10 MRSA §1522, the undersigned hereby applies to the Secretary of State of Maine to register the following mark: _____________________ Deputy Secretary of State CAREFULLY READ ALL OF THE INSTRUCTIONS BEFORE YOU COMPLETE THIS FORM. A. DATES OF FIRST USE: (to the best of the applicant's knowledge and belief) 1. 2. Date of first use anywhere: __________________________ Date of first use in Maine by applicant or predecessor in business: __________________________ If predecessor, list name and address under which mark was last used: _____________________________________________________________________________________ B. 1. TEXT - list word(s) to be protected, if any (if none, so indicate): ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ 2. FEATURES - describe in detail the design to be protected, if any (if none, so indicate): ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ C. D. TYPE OF MARK and CLASS NUMBER: _____________________________________________________________ DESCRIBE goods manufactured or sold and/or the service that is provided: ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ DESCRIBE manner in which mark is applied to the goods or used to promote their sale and/or the manner in which the mark is used in connection with the service: ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Attach additional pages, if necessary. FORM NO. Mark-1 (1 of 2) American LegalNet, Inc. www.FormsWorkFlow.com E. I, ____________________________________________________________________________________________ believe (Print/Type Name and Capacity) ____________________________________________________________________________________________________ ("Myself", Firm, Association or Corporate Name) to be the owner of the accompanying mark and that "no other person to the best of my knowledge and belief has the right to use the mark in this state as a mark or as a trade name or as a corporate name either in the identical form thereof or in such near resemblance thereto as to be likely, when applied to the goods or services of the other person, to cause confusion or to cause mistake or to deceive." (10 MRSA §1522.2.D) ____________________________________________________________________________________________________ Signature of Applicant (Individual, Corporate or Association Officer) ____________________________________________________________________________________________________ (Mailing Address, City, State and Zip Code) F. Applicant is a (an) association individual union general partnership limited partnership corporation other _______________________________________________________ (Explain) If a corporation, limited partnership, limited liability company or limited liability partnership, the jurisdiction (state) of incorporation/organization is _____________________________ and the date of incorporation/organization in its jurisdiction is __________________________________ G. Date of this application ________________________________________ You MUST submit THREE (3) samples of the mark text and/or design with this application. If the mark is to be protected in color, all the samples must be in the appropriate colors. NOTE: Samples may be 3 of the same item, i.e. business cards, letterhead, etc. The execution of an application containing false statements that one does not believe to be true is punishable as a Class D crime according to the Maine Criminal Code, 17-A MSEA §453, "Unsworn Falsification". Please remit your payment made payable to the Secretary of State. SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE, 101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101 FORM NO. MARK-1 (2 of 2) Rev. 8/1/2004 TEL. (207) 624-7740 American LegalNet, Inc. www.FormsWorkFlow.com Filer Contact Cover Letter To: Department of the Secretary of State Division of Corporations, UCC and Commissions 101 State House Station Augusta, ME 04333-0101 Tel. (207) 624-7752 Name of Entity (s): _______________________________________________________________________ _______________________________________________________________________ List type of filing(s) enclosed (i.e. Articles of Incorporation, Articles of Merger, Articles of Amendment, Certificate of Correction, etc.) Attach additional pages as needed. ________________________________________________________________________ ________________________________________________________________________ Special handling request(s): (check all that apply) Hold for pick up Expedited filing - 24 hour service ($50 additional filing fee per entity, per service) Expedited filing - Immediate service ($100 additional filing fee per entity, per service) Total filing fee(s) enclosed: $ ________________ Contact Information questions regarding the above filing(s), please call or email: (failure to provide a contact name and telephone number or email address will result in the return of the erroneous filing (s) by the Secretary of State's office) ___________________________________ (Name of contact person) ___________________________________ (Daytime telephone number) ____________________________________________________ (Email address) The enclosed filing(s) and fee(s) are submitted for filing. Please return the attested copy to the following address: ______________________________________________________________________________ (Name of attested recipient) _____________________________________________________________________________________________ (Firm or Company) _____________________________________________________________________________________________ (Mailing Address) _______________________________________________________________________
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