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Application For Trademark Or Service Mark TM-1 - West Virginia

Application For Trademark Or Service Mark Form. This is a West Virginia form and can be used in Multiple Company Types Business Organizations Secretary Of State .
 Fillable pdf Last Modified 3/6/2012
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Natalie E. Tennant Secretary of State 1900 Kanawha Blvd E. Bldg 1, Suite 157-K Charleston, WV 25305 FILE ONE ORIGINAL (Two if you want a filed stamped copy returned to you) . Penney Barker, Manager Corporations Division Tel: (304)558-8000 Fax: (304)558-8381 www.wvsos.com FEE: $50.00 (See instructions for complete list of applicable fees) WEST VIRGINIA Hrs: 8:30 a.m. ­ 5:00 p.m. ET APPLICATION FOR TRADEMARK OR SERVICE MARK TM New Application, (MARK NOT PREVIOUSLY REGISTERED IN WEST VIRGINIA) Renewal; MARK LAST REGISTERED ON (DATE) _____________________________________________ Applicant Information 1. Name of Applicant: 2. Business Address: ____________________________________________________ ____________________________________________________ ____________________________________________________ 3. If applicant is a corporation or partnership, state of organization: 4. If applicant is a partnership, names of general partners: ____________________________________________________ __________________________ _________________________ __________________________ _________________________ Goods or Services 5. The mark is used on or in connection with the following goods or services (see instructions): G = Goods S = Services Description of Goods or Services Mode or Manner Used Class of Goods Or Services Form TM-1 Office of the Secretary of State Revised 10/09 American LegalNet, Inc. www.FormsWorkFlow.com WV TRADEMARK OR SERVICE MARK APPLICATION Page 2 Mark to be Protected 6. The mark for which the application is made consist of: (check one) . a graphic symbol only a graphic symbol including words or letters words or letters in a specific typography words or letters only, without regard to typography 7. Brief description of the mark: 8. The mark was first used anywhere on: ____/____/____; and in West Virginia on: ____/____/____. 9. A drawing or representation of the mark is attached in the size and format shown, marked Attached 1. and, three specimens showing the mark as actually used are attached, marked Attachment 2, 3, and 4. Filing with the U. S. P. T. O. 10. An application to register this mark, or portions or a composite for this mark has been filed by this applicant (or predecessor in interest) with the United States Patent and Trademark Office: (check one, if yes, all detailed information is required, attach sheet if more than one application has been filed). NO ­ an application has not be filed YES ­ the specifics of the application(s) are: If more than one filing for this mark or portions or near matches of this mark have been made, attach a separate sheet listing the specifics for each application. Date filed with USPTO: __________ Serial No.: ____________ . Status: Verification PENDING Approved (Date__________) REFUSED/OTHER (REASON______________) 11. I, as applicant or authorized representative of the applicant, hereby certify that: (1) the applicant is the owner of the mark for which this application is made; (2) the mark is in use; (3) to may knowledge, no other person has registered, either federally or in this state, or has the right to use this mark either in the identical form thereof or in such near resemblance to it as to be likely, when applied to the goods or services of that other person, to cause confusion, or to cause mistake, or to deceive; and (4) the information contained in this application is true, to the best of my knowledge. _______________ __________________________________ ______________________________ Date Signed Name of Person Signing (Type or Print) Signature TITLE OF MEMBER OR OFFICER SIGNING IF OTHER THAN INDIVIDUAL APPLICANT: ________________________________ 12. State of _____________________; County of _______________________ Acknowledged before me this ___________ day of ____________, 20____. ______________________________________ Notary Public ______________________________________ My Commission Expires American LegalNet, Inc. www.FormsWorkFlow.com WV APPLICATION FOR TRADEMARK OR SERVICE MARK Attachment 1 Type applicant's name on the line provided. Leave effective date and WV Serial Number blank. Place drawing or photo copied representation of mark vertically within the frame. If necessary, enlarge or reduce so that longer dimension is no less than 5" and no more than 6". dialysis Applicant Name: _____________________________________________ Effective Date: ___________________ Serial No.: _________________ Contact Name: ___________________ Phone No.: _________________ American LegalNet, Inc. www.FormsWorkFlow.com International Schedule of Classes of Goods and Services 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. 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. Bleaching preparations and other substances for laundry use; cleaning, polishing, scouring and abrasive preparations; soaps; perfumery, essential oils, cosmetics, hair lotions; dentifrices. Industrial oils and greases; lubricants; dust absorbing, wetting and binding compositions; fuels (including motor spirit) and illuminants; candles, wicks. Pharmaceutical, veterinary, and sanitary preparations; 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. Common metals and their alloys; metal building materials; transportable buildings of metal; materials of metal for railway tracks; nonelectric 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. Machines and machine tools; motors and engines (except for land vehicles); machine coupling and transmission components (except for land vehicles); agricultural implements other than handoperated; incubators for eggs. Hand tools and implements (hand-operated); cutlery; side arms; razors. Scientific, nautical, surveying, electric, photographic, cinematographic, optical, weighing, measuring, signaling, checking (supervision),
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