(see list of goods and services BELOW, multiple classes can be filed on a application) (See WAC 434-12-015 for a complete description of each classification) American LegalNet, Inc. www.FormsWorkFlow.com Must match owner on file. An assignment of trademark is required to be filed first if owner has changed) (If recorded with the Secretary of State in Washington. If foreign entity, identify state of jurisdiction.) check box if same as applicant) (if applicable) American LegalNet, Inc. www.FormsWorkFlow.com This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct. X Signature Printed Name & Title Date American LegalNet, Inc. www.FormsWorkFlow.com