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Trademark Service Mark Registration SFN 13400 - North Dakota

Trademark Service Mark Registration Form. This is a North Dakota form and can be used in Trademark Secretary Of State .
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For Office Use Only TRADEMARK/SERVICE MARK REGISTRATION SECRETARY OF STATE SFN 13400 (03-06) ID#: WO#: Filed: By: 1. FILING FEE One class of goods or services Each additional class of goods or services Ten Year Registration $30.00 20.00 2. Two exact facsimiles of the trademark or service mark must be attached. Colored facsimiles are required if color is a distinguishing characteristic. Expiration Date: SEE INSTRUCTIONS FOR FILING AND MAILING GUIDANCE 3. Owner: 6. Address of owner's principal place of business: (Street/RR, PO Box, City, State, Zip+4) 8. The owner is: (select one) Corporation incorporated in State of _________________________________ Limited Liability Company organized in State of ________________________ Limited Partnership, Limited Liability Partnership, or Limited Liability Limited Partnership organized in State of ___________________________________ For reference, see North Dakota Century Code, Chapter 47-22. 4. Social Security/Federal ID #: 5. Telephone #: 7. Toll-Free Telephone #: Individual/Sole Proprietor General Partnership (see #9) Other. Define (see instructions) ____________________________ 9. If a general partnership, list all partners, their Social Security/Federal ID #'s, and the addresses of their principal places of business: SOCIAL SECURITY/ FEDERAL ID # COMPLETE ADDRESS Street/RR PO Box City State Zip+4 NAME 10. Provide a specific and detailed description of the trademark or service mark as you wish to have it protected including features such as color, words, lettering, pictures or designs, etc.: (The words "see attached facsimile" cannot be accepted.) 11. The mark is used to promote, or in connection with, the following goods or services: 12. Classification of goods or services as designated in statutory list: (Provide the actual categories, not just the class number.) (See instructions, page 3) 13. Describe how the mark is used, or manner in which it is associated with a product or a service, (e.g. on a label, imprinted on the product, used in advertising, on building or vehicle signs, etc.) 14. Date on which this mark was first used by the applicant or predecessor in business anywhere: (month, day, and year) 15. Date on which this mark was first used by the applicant or predecessor in business in North Dakota: (month, day, and year) 16. "I (We) own the mark and no other person has the right to use such mark in North Dakota either in the identical form thereof or in such near resemblance thereto as might be calculated to deceive or to be mistaken therefor. I (We), the owner(s), say that I (we) have read the foregoing registration, know the contents thereof, and believe the statements made thereon to be true." Original Signature Date Original Signature E-mail address: Date Daytime telephone #: 17. Name of person to contact if questions about this registration: American LegalNet, Inc. www.FormsWorkflow.com SFN 13400 (03-06) Page 2 INSTRUCTIONS FOR TRADEMARK OR SERVICE MARK REGISTRATION Any person or entity that has adopted a mark to distinguish their goods or services from goods or services made or sold by another, may register that mark with the Secretary of State. The mark may be a word, name, symbol, or device, or any combination thereof. A word or slogan is registrable only when it clearly distinguishes products or services from those of another. The registration of a trademark or service mark with the Secretary of State provides protection of the mark in North Dakota. However, if a mark is registered with the Patent and Trademark Office in Washington, D.C., the federal registration may supersede the protection afforded by state law. In the event that a mark or name is used that is deemed to be the same as, or deceptively similar, to a trademark or service mark that is already registered, the registrant of such mark may institute a civil suit to enjoin the manufacture, use, display, or sale of any counterfeits or imitations. (See North Dakota Century Code, Section 47-22-12.) The trademark or service mark submitted for registration may not be the same as, or deceptively similar to, another mark or name registered with the Secretary of State. (See North Dakota Century Code, Section 47-22-02.) The Secretary of State may not file any trademark or service mark submitted for filing if the mark is determined to be the same as, or deceptively similar to, a previously filed name or mark. The following numbers correspond to the numbered sections on the front of this form. 1. The registration fee is $30 if a trademark or service mark is associated with only one class of goods or services. If associated with more than one class of goods or services, the fee is $20 for each additional class. (See number 12 to identify the applicable classes). Checks must be payable to "Secretary of State" and must be negotiable U.S. funds. Payment may also be made by credit card using Visa, Master Card, or Discover. 2. Attach two identical facsimiles of the mark to the application. The facsimiles may be in the form of an actual label or tag, or a photograph. If color of the mark is a distinguishing characteristic, colored facsimiles must be provided. 3. Provide the full names of all the owners. If the owner is a corporation, a limited liability company, a limited partnership, a limited liability partnership, or a limited liability limited partnership registered with the Secretary of State, the owner's name must be identical to that as registered. 4. To properly maintain trademark or service mark records, the Social Security or Federal ID number(s) of the owner(s) is requested. In compliance with the Federal Privacy Act of 1974, the disclosure of the Social Security or Federal ID number on this form is voluntary. The number is not disclosed to the public. It is used by the Secretary of State to maintain accurate trademark and service mark files. Therefore, while voluntary disclosure is requested, failure to do so will not result in rejection of the registration. 5. The telephone number of the owner is required. 6. Provide the complete mailing address of the owner's principal place of business. In this section, an address must include either a street or rural address and/or a post office box number if required for mailing purposes, in addition to the city, state, and zip code. If the owner is a corporation, limited liability company, limited partnership, limited liability partnership, or limited liability limited partnership registered with the Secretary of State, the p
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