COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Please mail Registration to: Plaintiff(s) Secretary of State Jan Brewer / Trade Name Division 1700 West Washington 7th Fl. Phoenix, Arizona 85007 -againstWalk-in service: 14 N. 18th Ave., Phoenix, Arizona Tucson Office: 400 W. Congress, Ste. 252 (602) 542-6187 (800) 458-5842 (within Arizona) Filing Fee: $15.00 Calendar No. : JUDICIAL SUBPOENA : : : Defendant(s) : ...................................................... ASSIGNMENT OF MARK (A.R.S. §44-1446) Please print clearly or type. Renewal notices are dependent on accurate information. Please THE PEOPLE OF THE STATE OF NEW YORK update your records if you relocate. TO Registration Number Description of Mark GREETINGS: Assignor: WE COMMAND YOU, that all businessTrademark owner on file. Present and excuses being laid aside, you and each of you attend before , the Honorable at the Court Mailing Address: located at County of Street or Box Number City State Zip inAssignee: room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date,Name of individual or business entity to whom the Trademark part of the to testify and give evidence as a witness in this action on the is to be assigned Assignee must check one. Do not check “Corporation” or “LLC” if you are not currently registered as such in Arizona or your application will be returned to you. Individual LLC Partnership Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Arizona Corporation this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Association Other the party on whose behalf Foreign Corporation licensed in Arizona. State of Incorporation: result of your failure to comply. Mailing Address: Street Witness, Honorable or Box Number County, day of Phone Court in (Optional): City State , one of the Justices of Zip the , 20 Be it known for good and valuable consideration in hand paid, the receipt of which is hereby acknowledged, the identified Assignor together with the good will of the business in connection with which the said trade mark is used by these present does sell, assign and transfer unto the identified below) (Attorney must sign above and type name Assignee the entire right, title and interest in and to the identified trademark. Assignee’s Signature Assignor’s Signature Attorney(s) for State of Arizona County of Office and P.O. Address Acknowledged before me on this ______ day of 20___ Telephone No.: Facsimile No.: Public Notary E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com