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Application For Certificate Of Renewal Of Collective Mark Form. This is a Connecticut form and can be use in Trademark Secretary Of State.
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Tags: Application For Certificate Of Renewal Of Collective Mark, Connecticut Secretary Of State, Trademark
OFFICE OF THE SECRETARY OF THE STATE
MAILING ADDRESS:
Commercial Recording Division
Connecticut Secretary of the State
P.O. Box 150470
Hartford, CT 06115-0470
860-509-6003
DELIVERY ADDRESS:
Commercial Recording Division
Connecticut Secretary of the State
30 Trinity Street
Hartford, CT 06106
860-509-6003
APPLICATION FOR CERTIFICATE OF RENEWAL OF A COLLECTIVE MARK
(Can be filed only within 6 months prior to the expiration of a registration)
Filing Fee: $50.00
Make Checks Payable To “Secretary of the State”
1. Name of Record Owner:
2. State of Formation of the Owner if other than a natural person:
3. New Address of Owner (if applicable):
____________________________________
____________________________________
____________________________________
____________________________________
4. Connecticut Registration Number: ____________________________
The owner of the mark, which is the subject of this application, asserts that the mark has been and is still in use
in Connecticut. The owner hereby applies for renewal of the registration bearing the number stated in Number
4 above.
EXECUTION:
I hereby declare under the penalties of false statement that the statements made in
the foregoing application is true.
5. ___________
Date
6. ________________________________
Name of Signatory
7. ______________________________
Title of Signatory if applicable
8. _________________________________________________________________
Signature
9. The applicant must submit three specimens or photographs of the mark as actually used in this state.
Rev. 08/24/2007
American LegalNet, Inc.
www.FormsWorkflow.com
OFFICE OF THE SECRETARY OF THE STATE
MAILING ADDRESS:
Commercial Recording Division
Connecticut Secretary of the State
P.O. Box 150470
Hartford, CT 06115-0470
860-509-6003
DELIVERY ADDRES:
Commercial Recording Division
Connecticut Secretary of the State
30 Trinity Street
Hartford, CT 06106
860-509-6003
CERTIFICATE OF RENEWAL OF A COLLECTIVE MARK
Filing Fee: $50.00
Make Checks Payable To “Secretary of the State”
1. Name of Applicant/Owner: (Partnerships: attach an 8 1/2 X 11 list of all general partners)
2. Address of Owner of Mark: (Corporations and Partnerships: include state of incorporation or formation)
3. Connecticut registration number:
4. Full description of the mark:
5. Use the space provided for any disclaimers or additional pertinent information regarding the
mark.
6. The goods or services on or in connection with which the mark is used:
7. Date on which mark was first used anywhere:
8. Date on which mark was first used in Connecticut:
9. Have applications to register the mark or portions or composites thereof been filed in the
United States Patent Office?
10. If No. 9 was answered "YES", indicate filing date, serial number, status, and if registration was
refused, the reasons for such refusal:
The applicant asserts that the mark is not known to be the subject matter of an existing federal
registration granted to another and to the best of the applicant's knowledge, no other person has the
right to use such mark in this state either in the identical form thereof or in such near resemblance
thereto as to be likely, when applied to the goods or services of such other person, to cause
confusion, or to cause mistake or to deceive purchasers. The applicant hereby declares under the
penalties of false statement that the statements made in the foregoing application are true.
11. Date:
12. Name of Signatory and Title: (if applicable)
13. Signature:
14. Applicant must submit three specimens or photographs of the mark as actually used in this state.
Said specimens or photographs should not be attached by the applicant to the application.
Rev. 08/24/2007
American LegalNet, Inc.
www.FormsWorkflow.com