FILING FEE: $25.00 NON-REFUNDABLE STATE OF NORTH CAROLINA ASSIGNMENT OF REGISTRATION OF TRADEMARK OR SERVICE MARK WHEREAS (Name of Assignor) of (Address of Assignor) and State of Incorporation of Assignor (if applicable)__________,has adopted, used, and is using the mark: ____________________ Which was registered with the Department of the Secretary of State on , (date) AND; WHEREAS (Name of Assignee) of (Address of Assignee) and State of Incorporation of Assignee (if applicable) __________, is desirous of acquiring said mark and registration thereof; NOW, THEREFORE, for good and valuable consideration, receipt of which is hereby acknowledged, said , Assignor, does hereby assign unto said Assignee, all right, title, interest in and to said mark 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. ________________________________________________ (Assignor) ________________________________________________ (Name) ________________________________________________ (Official Capacity) North Carolina _______________________ County I, _________________________, a Notary Public for ________________ County, North Carolina, do hereby certify that ________________________ personally appeared before me this day and acknowledged the due execution of the foregoing instrument. Witness my hand and official seal, this the _____ day of _____________, 20 ____. (Official Seal) Notary Public My commission expires _____________________, 20 ___. Month and Day NOTE: The above form is a suggested form for assignment of registration of a trademark or service mark. Other formats with the necessary information will be accepted. American LegalNet, Inc. www.FormsWorkflow.com