North Dakota > Secretary Of State > Trademark
Trademark Service Mark Assignment SFN 13408 - North Dakota
| Trademark Service Mark Assignment Form. This is a North Dakota form and can be used in Trademark Secretary Of State . |
|
||||||
|
FOR OFFICE USE ONLY TRADEMARK/SERVICE MARK ASSIGNMENT SECRETARY OF STATE SFN 13408 (03-06) ID#: WO#: Filed: By: 1. FILING FEE: $30.00 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. Assignor: (owner currently recorded with the Secretary of State) For reference, see North Dakota Century Code, Chapter 47-22. 4. Social Security/Federal ID #: 5. Telephone #: 7. Toll-Free Telephone #: 10. Telephone #: 12. Toll-Free Telephone #: 6. Address of assignor's principal place of business: (Street/RR, PO Box, City, State, Zip+4) 8. Assignee: (Person or entity to whom ownership of mark is transferred) 9. Social Security/Federal ID #: 11. Address of assignee's principal place of business: (Street/RR, PO Box, City, State, Zip+4) 13. The assignee 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 ___________________________________ Individual/Sole Proprietor General Partnership (see #13) Other. Define (see instructions) ____________________________ 14. If assignee is 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 15. 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.) 16. The mark is used to promote, or in connection with, the following goods or services: 17. Classification of goods or services as designated in statutory list: (Provide the actual categories, not just the class number.) (See instructions, page 3) 18. 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 adverstising, on building or vehicle signs, etc.) 19. Date on which this mark was first used by the applicant or predecessor in business anywhere: (month, day, and year) 20. Date on which this mark was first used by the applicant or predecessor in business in North Dakota: (month, day, and year) 21. "The assignor(s) declare(s) he/she is/are the owner(s) of this mark and hereby assign(s) this mark to the assignee with the good will of the business connected with the use of, and symbolized by, the mark. I (We), the assignor(s), say that I (we) have read the foregoing assignment, know the contents thereof, and believe the statements made thereon to be true." Original Signature of assignor Date Original Signature of assignor E-mail address: Date Daytime telephone #: 22. Name of person to contact if questions about this registration: American LegalNet, Inc. www.FormsWorkflow.com SFN 13408 (03-06) Page 2 INSTRUCTIONS FOR TRADEMARK/SERVICE MARK ASSIGNMENT To transfer ownership of a trademark or service mark registered with the Secretary of State, the registrant of record must file a Trademark/Service Mark Assignment. Upon filing the Trademark/Service Mark Assignment, the Secretary of State issues, in the name of the assignee, a new certificate for the remainder of the term of the ten-year registration, or the last renewal thereof. An assignment filed with the Secretary of State does not extend the registration period. The expiration date is stated on the new certificate. The following numbers correspond to the numbered sections on the front of this form. 1. The assignment fee is $30. Checks must be payable to the "Secretary of State" and must be nogotiable U.S. funds. Payment may also be made by credit card using VISA, MasterCard, or Discover. Attach two identical facsimiles of the mark to the assigment. 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. Provide the full name of the assignor who is the owner of the trademark or service mark as currently recorded with the Secretary of State. If the owner is a corporation, a limited liability company, a limited partnership, a limited liability partnership, or a limited liability limited partnership filed with the Secretary of State, the assignor's name must be identical to that as registered. To properly maintain trademark or service mark records the Social Security or Federal ID number(s) of the assigner 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. 6. The telephone number of the assignor is required. Provide the complete mailing address of the assignor'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. 7. 8. Provide the toll-free telephone number if the assignor has one. Provide the full name of the assignee who is the person or entity to whom ownership of the mark is transferred. If the assignee is a corporation, a limited liability company, a limited partnership, a limited liability partnership, or a limited liability limited partnership filed with the Secretary of State, the assignee's name must be identical to that as registered. To properly maintain trademark or service mark records the Social Security or Federal ID number(s) of the assignee is requested. (See number 3 regarding privacy of Social Security or Federal ID numbers.) The telephone number of the assignor is required. Provide the complete mailing address of the assignee's principal place of business. 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 principal place of business address must corresp
|
|||||||


