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Trademark Or Service Mark Application - Nebraska
| Trademark Or Service Mark Application Form. This is a Nebraska form and can be used in Trade Name-Trade Mark-Service Mark Secretary Of State . |
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TRADEMARK or SERVICE MARK APPLICATION John A. Gale, Secretary of State Room 1301 State Capitol, P.O. Box 94608 Lincoln, NE 68509 (402) 471-4079 http://www.sos.ne.gov Submit in Duplicate Applicant: ____________________________________________________________________________ Address: _____________________________________________________________________________ Street Address City State Zip Applicant is a: ___Corporation ___Limited Liability Company ___Limited Liability Partnership ___Limited Partnership ___Partnership ___Sole Proprietorship ___Other (Specify)_________________ If other than a sole proprietorship, state under whose laws the entity was formed ____________________ If partnership, the names of the general partners______________________________________________ _____________________________________________________________________________________ Description of the Mark to be registered: Identify the goods or services on or in connection with which the mark is used: _____________________ _____________________________________________________________________________________ Classification Number______ (ONLY ONE, see classification list) Identify the mode or manner in which the mark is used: a. For goods, placed on: ____ the goods or other containers ___associated displays ___ tags ___labels ___ documents associated with the goods or their sale b. For services, used or displayed: ___ in the sale or advertising of services Date of first use of the Mark by applicant: a. Anywhere____________________ b. In Nebraska__________________ Has the mark been filed in the United States Patent and Trademark Office ____yes ____no If so, provide the filing date, serial number, and status of application______________________________ _____________________________________________________________________________________ Oath or Affirmation State of ____________________ County of __________________ The applicant does hereby state and affirm that the applicant is the owner of the mark, the mark is in use, to the applicant's knowledge no other person has registered, either federally or in this state, or has the right to use such mark either in identical form or in such a near resemblance when applied to the good or services of such other person as to cause confusion, mistake, or to deceive. _________________________________ Signature of Applicant _____________________________ Official Capacity of Applicant Subscribed and sworn to before me this _______ day of ____________________, 20_____ (seal) _______________________________ Notary Public Filing Fee $100 Revised 7/15/10 Submit THREE examples of the mark as actually used Neb. Rev. Stat. § 87-130-§ 87-133 American LegalNet, Inc. www.FormsWorkFlow.com I. Classification of Goods 1. Chemicals used in industry, science and photography, as well as in agriculture, horticulture and forestry; unprocessed artificial resins; unprocessed plastics; manures; fire extinguishing compositions; tempering and soldering preparations; chemical substances for preserving foodstuffs; tanning substances; adhesives used in industry. 2. Paints, varnishes, lacquers; preservatives against rust and against deterioration of wood; colorants; mordants; raw natural resins; metals in foil and powder form for painters, decorators, printers and artists. 3. Bleaching preparations and other substances for laundry use; cleaning, polishing, scouring and abrasive preparations; soaps; perfumery, essential oils, cosmetics, hair lotions; dentifrices. 4. Industrial oils and greases; lubricants; dust absorbing, wetting and binding compositions; fuels (including motor spirit) and illuminants; candles and wicks for lighting. 5. Pharmaceutical and veterinary preparations, sanitary preparations for medical purposes; dietetic substances adapted for medical use, food for babies; plasters, materials for dressings; material for stopping teeth, dental wax; disinfectants; preparations for destroying vermin; fungicides, herbicides. 6. Common metals and their alloys; metal building materials; transportable buildings of metal; materials of metal for railway tracks; non-electric cables and wires of common metal; ironmongery, small items of metal hardware; pipes and tubes of metal; safes; goods of common metal not included in other classes; ores. 7. Machines and machine tools; motors and engines (except for land vehicles); machine coupling and transmission components (except for land vehicles); agricultural implements other than hand-operated; incubators for eggs. 8. Hand tools and implements (hand-operated); cutlery; side arms; razors. 9. Scientific, nautical, surveying, photographic, cinematographic, optical, weighing, measuring, signalling, checking (supervision), life-saving and teaching apparatus and instruments; apparatus and instruments for conducting, switching, transforming, accumulating, regulating or controlling electricity; apparatus for recording, transmission or reproduction of sound or images; magnetic data carriers, recording discs; automatic vending machines and mechanisms for coin-operated apparatus; cash registers, calculating machines, data processing equipment and computers; fire extinguishing apparatus. 10. Surgical, medical, dental, and veterinary apparatus and instruments, artificial limbs, eyes, and teeth; orthopedic articles; suture materials. 11. Apparatus for lighting, heating, steam generating, cooking, refrigerating, drying, ventilating, water supply, and sanitary purposes. 12. Vehicles; apparatus for locomotion by land, air, or water. 13. Firearms; ammunition and projectiles; explosives; fireworks. 14. Precious metals and their alloys and goods in precious metals or coated therewith, not included in other classes; jewelry, precious stones; horological and chronometric instruments. 15. Musical instruments. 16. Paper, cardboard and goods made from these materials, not included in other classes; printed matter; bookbinding material; photographs; stationery; adhesives for stationery or household purposes; artists' materials; paint brushes; typewriters and office requisites (except furniture); instructional and teaching material (except apparatus); plastic materials for packaging (not included in other classes); printers' type; printing blocks. 17. Rubber, gutta-percha, gum, asbestos, mica and goods made from these materials and not included in other classes; plastics in extruded form for use in manufacture; packing, stopping and insulating materials; flexible pipes, not of metal
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