State of New Hampshire Filing Fee: $10.00 Use black print or type. Form TM-7 RSA 350-A:6 ASSIGNMENT OF TRADEMARK/SERVICE MARK REGISTRATION Assignor name: Assignor business address: Description of mark: Class No. Recorded in Volume Assignee name: Assignee business address: Registration Date Page or Registration No. Statement: For good and valuable consideration, receipt of which is hereby acknowledged, does hereby assign to (name of assignor) (name of assignee) all right, title and interest in and to the mark listed above, together with the good will of the business in which the mark is used (or that part of the good will of the business connected with the use of and symbolized by the mark) and the registration thereof. (Signature of assignor) (Print or type name) (Title) Subscribed and sworn to before me this day of , . (Signature of Notary Public or Justice of the Peace) My commission expires: ______________________, DISCLAIMER: All documents filed with the Corporation Division become public records and will be available for public inspection in either tangible or electronic form. Mail fee and DATED AND SIGNED ORIGINAL to: Corporation Division, Department of State, 107 North Main Street, rd Concord NH 03301-4989. Physical location: 25 Capitol Street, 3 Floor, Concord, NH 03301. Form TM-7 (12/2003) American LegalNet, Inc. www.FormsWorkFlow.com