Nevada > Secretary Of State > Trademarks
Application For Registration Of Claim To Right Of Publicity - Nevada
| Application For Registration Of Claim To Right Of Publicity Form. This is a Nevada form and can be used in Trademarks Secretary Of State . |
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DEAN HELLER Secretar y of State 555 E. Wash ington Ave., #4000 Las Veg as, Nevada 89101 (702) 486 2880 Webs ite: secretaryofstate.biz Application For Registration Of Claim To Right Of Publicity (PURSUANT TO NRS 597.800) ABOVE SPACE IS FOR OFFICE USE ONLY I, OF Name Claimant Address , BEING FIRS T DULY SWORN, UNDER PENALTY OF PERJUR Y, DEPOSES AND SAYS THAT HE IS THE: (check one box only) SUCCESSOR IN INTEREST LICENSEE OF Legal Name of Deceased Person Professional Name of Deceased Person WHO DIED ON . THAT THE BASIS OF THE CL AIMANTS CLAIM IS Date of Death of Deceased Person IS AS FOLLOWS: THAT THE FOLLO WING IS A DESCRIPTION OF THE RIGHTS CLAIME D: DATED THIS DAY OF , . BY CL AIMANT: Signature STATE OF , COUNTY OF . THIS INSTRUMENT WAS AC KNOWLE DGED BEFORE ME ON . Date Notary Signature Notary Stamp Nevada Secretary of State Form RIGHT OF PUBLICITY 2003 Revised on: 08/10/04
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