Mark Renewal Application {CR2E005}

COVER LETTER TO: Registration Section Division of Corporations SUBJECT: (Name of Mark Registered) Dear Sir or Madam: The enclosed Mark Renewal Application, specimen and fee(s) are submitted for filing. Please return all correspondence concerning this matter to the following: (Name of Person) (Firm/Company) (Address) (City/State and Zip Code) For further information concerning this matter, please call: (Name of Person) STREET/COURIER ADDRESS: Registration Section Division of Corporations Clifton Building 2661 Executive Center Circle Tallahassee, Florida 32301 at ( ) (Area Code & Daytime Telephone Number) MAILING ADDRESS: Registration Section Division of Corporations P.O. Box 6327 Tallahassee, Florida 32314 FILING FEE: $87.50 per class CERTIFICATE OF RENEWAL: $ 8.75 (OPTIONAL) (NOTE: The information contained in this cover letter will be included in the permanent record and will be available to the general public.) CR2E005 (1/11) American LegalNet, Inc. www.FormsWorkFlow.com MARK RENEWAL APPLICATION Name and Mailing Address of Owner: Return To: Division of Corporations P.O. Box 6327 Tallahassee, FL 32314 1) Mark Registered: 2) Registration Number: 3) Date Filed: 4.) Renewal Date: 5.) Class(es) Filed: 6) Renewal statement pursuant to section 495.071, Florida Statues. Below you must state the mark is still in use in Florida or state the reason for its nonuse is not due to any intention to abandon the mark. 7) If the mark is still in use, a specimen showing actual use of the mark is included with this application. 8) If applicant is a business entity, enter the state of incorporation/formation/organization: _____________ Typed or Printed Name of Owner Owner's Signature or Authorized Person's Signature STATE OF_______________________ COUNTY OF_____________________ Sworn to and subscribed before me on this who is personally known to me day of , , (Name of Individual Signing) whose identity I proved on the basis of (Seal) Fee: $87.50 Per Class Certificate of Renewal : $8.75 (Optional) CR2E005 (1/11) Notary Public's Signature Notary Public's Printed Name American LegalNet, Inc. www.FormsWorkFlow.com Mark Renewal Instructions ¾ You may file a renewal up to 6 months prior to the expiration date of the mark. ¾ If you do not wish to renew your mark, you may let the mark expire or you may file a cancellation prior to its date of expiration. The filing fee for a cancellation is $50.00. (Cancellation forms may be downloaded from our website at www.sunbiz.org.) ¾ If the owner of the mark is a business entity, the business entity's filing/registration must be active on our records. If the owner of the mark has changed you must file an assignment. The fee to file an assignment is $50. If only the name of the owner has changed, the owner must file a Trademark/ Service Mark Certificate of Name Change. The fee to file a Certificate of Name Change is $50. Forms may be downloaded from our website at www.sunbiz.org. ¾ The fee to file a renewal is $87.50 PER CLASS. NOTE: A certificate of renewal may be obtained for an additional $8.75. Make check(s) payable to Florida Department of State. ¾ Complete Renewal as follows #1. #2. #3. #4. #5. #6. #7. #8. If blank, enter name or description of the mark. If blank, enter Florida registration number. If blank, enter date mark was registered with the Florida Department of State. If blank, enter date registration is due to expire. If blank, enter class (es) under which mark was registered. You must state the mark is still in use in Florida or that the reason for its nonuse is not due to any intention to abandon the mark. If the mark is still in use, you must submit one specimen showing actual use of the mark with this application. If the owner is a business entity, enter the state under the laws of which it is incorporated, formed or otherwise organized. Should you have any questions regarding the filing of your renewal, please contact the Registration Section, Division of Corporations, at (850) 245-6051. Mailing Address: Street/Courier Address: Division of Corporations P.O. Box 6327 Tallahassee, FL 32314 Division of Corporations Clifton Building, 2661 Executive Center Circle Tallahassee, FL 32301 American LegalNet, Inc. www.FormsWorkFlow.com