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This is a Nebraska form that can be used for Trade Name-Trade Mark-Service Mark within Secretary Of State.
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ASSIGNMENT OF REGISTRATION TRADE NAME John A. Gale, Secretary of State Room 1301 State Capitol, P.O. Box 94608 Lincoln, NE 68509 (402) 471-4079 http://www.sos.state.ne.us Submit in Duplicate Trade Name to be assigned__________________________________________________ Whereas________________________________ ________________________________ Name of Assignor City State Zip Street Address _________________________________________________ has adopted, used and is using the trade name which is registered with the Nebraska Secretary of State, and whereas: ___________________________________ __________________________________ Name of Assignee City State Zip Street Address _________________________________________________ desires to acquire said trade name and registration thereto: Now, therefore, for good and valuable consideration, receipt of which is hereby acknowledged, ______________________________________ does hereby assign to Name of Assignor ______________________________________ all right, title and interest in and to said Name of Assignee trade name. _____________________________________ Signature of Assignor FILING FEE: $5.00 Revised 09/09/2005 American LegalNet, Inc. www.USCourtForms.com