Amendment Of Tradename-Trademark
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Amendment Of Tradename-Trademark Form. This is a Arizona form and can be use in Tradename-Trademark Secretary Of State.
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Tags: Amendment Of Tradename-Trademark, Arizona Secretary Of State, Tradename-Trademark
Office Use
Please mail Registration and make check payable to:
Secretary of State Ken Bennett / Trade Name Division
1700 W. Washington 7th Fl. Phoenix, Arizona 85007
Walk-in service: Phoenix: 1700 W. Washington, 1st Fl., Room 103
Tucson: 400 W. Congress, Ste. 252
(602) 542-6187
(800) 458-5842 (within Arizona)
Filing Fee: $3.00
AMENDMENT
TRADENAME
TRADEMARK
Do not use this form for a change of ownership. Please use an Assignment form
for such a change. Please print clearly as renewal notices are dependent on this
information.
File Number:
Trade Name or Trademark Description:
Owner Name(s):
CHECK ALL THAT APPLY:
Address Change.
Former Address:
New Address:
Phone Number:
Nature of Business:
Other:
Legal Name Change of Applicant.
Former name:
New name:
Reason for name change (include copy):
Marriage
Divorce
Other (Specify)
Applicant’s Printed Name
Applicant’s Signature
State of Arizona
County of ______________
On this ____ day of ________________, 20___, before me personally appeared
________________________________, (name of signer) whose identity was proved to
me on the basis of satisfactory evidence to be the person whose name is subscribed to
this document, and who acknowledge that he/she signed the above document.
__________________________
Notary Public
TN Amend Revision 093009
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