Form D-VH-Con For Vessel Hull Design Continuation Sheet
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Form D-VH-Con For Vessel Hull Design Continuation Sheet Form. This is a Official Federal Forms form and can be use in US Copyright Office.
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3 Form D-VH ⁄ CON
For Vessel Hull Design
UNITED STATES COPYRIGHT OFFICE
REGISTRATION NUMBER
DAT E O F R E GI S T R AT I O N /P UBLI C AT I ON
C O N T I N UAT I O N S HE E T R E C E I VE D
DO NOT WRITE ABOVE THIS LINE. FOR COPYRIGHT OFFICE USE ONLY.
ò
Check here, if using for multiple designs: Fill in Space A ONLY with new information regarding additional designs. All other information must be
identical to the information on the corresponding Form D-VH. Use an additional Form D-VH/CON for each design included in the registration.
Design __ of __ designs.
ò
Check here, if you are using the continuation sheet for supplemental information regarding the original design.
Identification
of
Application
IDENTIFICATION OF CONTINUATION SHEET: This is a continuation of the application for copyright registration on
Form D-VH. Identify the title of the work as it appears in Space 1 (i.e., make and model of the vessel) of Form D-VH:
.........................................................................................................
A
(2a) What is the type or style of the design for which registration is sought?
Continuation
of Space 2
(2b) Provide a brief general statement setting forth the salient features of the design.
(2c)
If this design is derived from an earlier design, explain how that design has been revised, adapted, or rearranged.
17 USC §1327. Penalty for false representation. “Whoever knowingly makes a false representation materially affecting the rights obtainable under this chapter for the purpose of obtaining registration of a design
under this chapter shall pay a penalty of not less than $500 and not more than $1,000, and any rights or privileges that individual may have in the design under this chapter shall be forfeited.”
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Continuation of (check which):
ò Space 3 ò Space 4 ò Space 5
B
ò Space __
Continuation
of Spaces
Other than
Space 2
MAIL
TO
YOU MUST:
Complete all necessary spaces
SEND ALL ELEMENTS
IN THE SAME PACKAGE:
1 Application form
2 Nonrefundable filing fee in
check or money order payable
to Register of Copyrights
MAIL TO:
Dept D-VH
Vessel Hull Registration
PO Box 71380
Washington, DC 20024-1380
Name
Number/Street/Apt
Certificate
will be
mailed in
window
envelope
form dvh/con
City/State/Zip
rev: 07/2006
print: 07/2006
Printed on recycled paper
C
Address for
return of
certificate
American LegalNet, Inc.
U.S. Government Printing Office: 2006-xxx-xxx ⁄ xx,xxx
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