Form 669 "Assignment of an Application for a Service Mark or Trademark" - Rhode Island

What Is Form 669?

This is a legal form that was released by the Rhode Island Secretary of State - a government authority operating within Rhode Island. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2022;
  • The latest edition provided by the Rhode Island Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 669 by clicking the link below or browse more documents and templates provided by the Rhode Island Secretary of State.

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Download Form 669 "Assignment of an Application for a Service Mark or Trademark" - Rhode Island

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State of Rhode Island
Department of State - Business Services Division
Instructions for Filing
Assignment of an Application for a Service Mark or Trademark
Chapter 6-2-6
of the General Laws of Rhode Island, 1956, as amended
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant statutory provision. This form and
the information provided are not substitutes for the advice and services of an attorney and/or tax specialist.
All filings are public records under RIGL 38-2-1, et seq. This means all information is available to the public by a variety of methods
including, without limitations, inspections at our office, telephone inquiries and electronically through our online database.
This legal document should be typed. All illegible documents will be REJECTED.
How to complete the form:
How to pay the filing fee:
All sections of the form MUST be completed.
The filing fee is $20, payable in person via cash, credit
1. List the registration number of the service mark or
card, or check at the Business Services Division, located
trademark you want to transfer. The registration number
at 148 W. River Street, Ste. 1, Providence, RI 02904.
can be found by looking up your registration in the
You can also submit your application by mail and pay via
Trademark/Service Mark
Database.
check made payable to RI Department of State. Contact
2. Check the box to indicate if the assignment is for a
our office at (401) 222-3040 for further information.
Service Mark or a Trademark.
How to maintain your mark:
3. Check the box to indicate if the current registrant is
an individual, partnership, corporation, limited liability
The registration is active for ten (10) years. We will send
company, union or association. This information must
a courtesy reminder six (6) months before the expiration
match the current information of record.
date. If your address changes, file Form 668, Change of
(a) List the full name of the current registrant.
Address for a Trademark or Service Mark Registration.
(b) List the entity name and state of formation of the
current registrant, if applicable.
It is your legal responsibility to police and protect your
4. The current registrant or the registrant’s authorized
registered trademark or service mark. The Rhode Island
representative must agree to the statement listed in the
Secretary of State’s office cannot provide legal advice,
acknowledgement.
send notices on your behalf to others, or prosecute
5. Check the box to indicate if the assignee is an individual,
infringement on your registered mark. All trademark/
partnership, corporation, limited liability company, union
service mark disputes are handled by legal action. If you
or association.
feel your mark has been compromised by another party,
(a) List the full name of the assignee.
you should contact a qualified attorney.
(b) List the entity name and state of formation of the
How to confirm your filing:
assignee, if applicable.
6. List the full address of the assignee.
Registrations are retrievable and viewable through our
7. Check “Date received” unless you prefer that the
website. Successful filings will receive a certificate.
Assignment go into effect at a later date than when the
Filings that cannot be processed will be posted
online
form is received in this office.
and then returned. To confirm your submission and
obtain evidence of your filing:
Signature
Go to our
Trademark/Service Mark Database
Enter the name or ID number of your mark and click
The registrant must appear before a Notary Public to sign the
“Search”
Assignment of a Service Mark or Trademark Form.
Click on the link to the original number
1. The registrant completes the “Registrant” section of the
Filing rejections can be viewed online via the
certificate.
Rejected Filings Viewer
on our website.
2. The Notary Public administering the oath completes the
“Notary” section of the certificate.
FORM 669 - Revised: 04/2022
State of Rhode Island
Department of State - Business Services Division
Instructions for Filing
Assignment of an Application for a Service Mark or Trademark
Chapter 6-2-6
of the General Laws of Rhode Island, 1956, as amended
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant statutory provision. This form and
the information provided are not substitutes for the advice and services of an attorney and/or tax specialist.
All filings are public records under RIGL 38-2-1, et seq. This means all information is available to the public by a variety of methods
including, without limitations, inspections at our office, telephone inquiries and electronically through our online database.
This legal document should be typed. All illegible documents will be REJECTED.
How to complete the form:
How to pay the filing fee:
All sections of the form MUST be completed.
The filing fee is $20, payable in person via cash, credit
1. List the registration number of the service mark or
card, or check at the Business Services Division, located
trademark you want to transfer. The registration number
at 148 W. River Street, Ste. 1, Providence, RI 02904.
can be found by looking up your registration in the
You can also submit your application by mail and pay via
Trademark/Service Mark
Database.
check made payable to RI Department of State. Contact
2. Check the box to indicate if the assignment is for a
our office at (401) 222-3040 for further information.
Service Mark or a Trademark.
How to maintain your mark:
3. Check the box to indicate if the current registrant is
an individual, partnership, corporation, limited liability
The registration is active for ten (10) years. We will send
company, union or association. This information must
a courtesy reminder six (6) months before the expiration
match the current information of record.
date. If your address changes, file Form 668, Change of
(a) List the full name of the current registrant.
Address for a Trademark or Service Mark Registration.
(b) List the entity name and state of formation of the
current registrant, if applicable.
It is your legal responsibility to police and protect your
4. The current registrant or the registrant’s authorized
registered trademark or service mark. The Rhode Island
representative must agree to the statement listed in the
Secretary of State’s office cannot provide legal advice,
acknowledgement.
send notices on your behalf to others, or prosecute
5. Check the box to indicate if the assignee is an individual,
infringement on your registered mark. All trademark/
partnership, corporation, limited liability company, union
service mark disputes are handled by legal action. If you
or association.
feel your mark has been compromised by another party,
(a) List the full name of the assignee.
you should contact a qualified attorney.
(b) List the entity name and state of formation of the
How to confirm your filing:
assignee, if applicable.
6. List the full address of the assignee.
Registrations are retrievable and viewable through our
7. Check “Date received” unless you prefer that the
website. Successful filings will receive a certificate.
Assignment go into effect at a later date than when the
Filings that cannot be processed will be posted
online
form is received in this office.
and then returned. To confirm your submission and
obtain evidence of your filing:
Signature
Go to our
Trademark/Service Mark Database
Enter the name or ID number of your mark and click
The registrant must appear before a Notary Public to sign the
“Search”
Assignment of a Service Mark or Trademark Form.
Click on the link to the original number
1. The registrant completes the “Registrant” section of the
Filing rejections can be viewed online via the
certificate.
Rejected Filings Viewer
on our website.
2. The Notary Public administering the oath completes the
“Notary” section of the certificate.
FORM 669 - Revised: 04/2022
State of Rhode Island
Department of State - Business Services Division
Assignment of an Application for a Service Mark or
STAMP
Trademark
FOR
SECRETARY OF STATE
Filing Fee: $20.00
USE ONLY
Pursuant to RIGL
Chapter 6-2-6
the applicant submits the following application for the purpose of
registering a service mark or trademark:
1. Registration Number:
2. This renewal is for a: CHECK ONE BOX ONLY
Service Mark
Trademark
3. The current registrant is a(an): CHECK ONE BOX ONLY
Individual
Partnership
Corporation
Limited Liability Company
Union
Association
(a) Registrant name, to be completed by an individual:
(b) Entity name, to be completed by an entity:
First:
Name of Entity:
Middle:
Last:
State of Formation:
4. The current registrant named above assigns to assignee all right, title and interest in and to the above referenced mark
and its registration.
5. The assignee is a(an): CHECK ONE BOX ONLY
Individual
Partnership
Corporation
Limited Liability Company
Union
Association
MAIL TO:
STAMP
Division of Business Services
148 W. River Street, Providence, Rhode Island 02904-2615
Phone: (401) 222-3040
FOR
Website: www.sos.ri.gov
SECRETARY OF STATE
USE ONLY
FORM 669 - Revised: 04/2022
(a) Assignee name, to be completed by an individual:
(b) Entity name, to be completed by an entity:
First:
Name of Entity:
Middle:
Last:
State of Formation:
6. Assignee address
Street Address:
City/Town:
State:
Zip Code:
7. Date when this Assignment will be effective: CHECK ONE BOX ONLY
Date received (Upon filing)
Later effective date (Date later than the date the form is received in this office) ___________________________
Registrant: To the best of my knowledge or belief, the statements contained within this application are truthful and accurate.
Type or Print Name of Registrant or Registarnt’s Authorized Representative
Title (if applicable)
Signature of Registrant or Registrant’s Authorized Representative
Date
Notary:
Name of Notary
State
County
On
day of
, 20
the applicant, known to me or proved through satisfactory evidence,
signed the application in my presence and swore or affirmed the statements in the application are truthful and accurate and
declared that they signed document in the indicated capacity.
Signature of Notary Public
Date
Commission ID#
Commission Expiration Date
Notary Seal
If you have any questions, please call us at (401) 222-3040, Monday through Friday,
between 8:30 a.m. and 4:30 p.m., or email corporations@sos.ri.gov.
FORM 669 - Revised: 04/2022
State of Rhode Island
Department of State - Business Services Division
Filer Contact Information
In the event our office needs more information in order to complete the filing of this
document, we ask for the filer’s contact information. All fields are REQUIRED.
Name:
Date:
Street Address:
City:
State:
Zip Code:
Email Address:
Phone Number:
If you have any questions, please call us at (401) 222-3040, Monday through Friday,
between 8:30 a.m. and 4:30 p.m., or email corporations@sos.ri.gov.
FORM 669 - Revised: 04/2022
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