"Statement of Trademark Registration of a Non-reporting Domestic Limited Partnership, Dissolved or Delinquent Reporting Entity or Converted Entity - Sample" - Colorado

Statement of Trademark Registration of a Non-reporting Domestic Limited Partnership, Dissolved or Delinquent Reporting Entity or Converted Entity - Sample is a legal document that was released by the Colorado Secretary of State - a government authority operating within Colorado.

Form Details:

  • Released on October 31, 2011;
  • The latest edition currently provided by the Colorado Secretary of State;
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Download "Statement of Trademark Registration of a Non-reporting Domestic Limited Partnership, Dissolved or Delinquent Reporting Entity or Converted Entity - Sample" - Colorado

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Form must be filed electronically.
Paper forms are not accepted.
This copy is a sample and cannot be submitted for filing.
Statement of Trademark Registration of a Non-Reporting Domestic Limited Partnership,
Dissolved or Delinquent Reporting Entity or Converted Entity
filed pursuant to § 7-70-102 of the Colorado Revised Statutes (C.R.S.)
1. For the entity delivering this statement, its ID number, true name, form of entity and the jurisdiction under
the law of which it is formed are
ID number
_________________________
(Colorado Secretary of State ID number)
True name
______________________________________________________
Form of entity
______________________________________________________
Jurisdiction
______________________________________________________.
2. The principal address of such entity and, if different, the mailing address of such entity are
Principal (street) address
______________________________________________________
(Street name and number)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(Zip/Postal Code)
_______________________ ______________
(Province – if applicable)
(Country)
Mailing address
______________________________________________________
(leave blank if same as street address)
(Street number and name or Post Office Box information)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(Zip/Postal Code)
_______________________ ______________.
(Province – if applicable)
(Country)
3.
(Mark the applicable box and complete the statement. Caution: Mark only one box.)
The trademark is a standard character trademark and the characters constituting the trademark are
__________________________________________________________________________________.
OR
The trademark is a special form trademark and a description of the attached drawing is
__________________________________________________________________________________.
4. A detailed description of the goods or services in connection with which the trademark is used is
_____________________________________________________________________________________.
The class into which such goods or services fall is _____________________________________________.
(Class)
TDMK_DLQ
Page 1 of 2
Rev. 10/31/2011
Form must be filed electronically.
Paper forms are not accepted.
This copy is a sample and cannot be submitted for filing.
Statement of Trademark Registration of a Non-Reporting Domestic Limited Partnership,
Dissolved or Delinquent Reporting Entity or Converted Entity
filed pursuant to § 7-70-102 of the Colorado Revised Statutes (C.R.S.)
1. For the entity delivering this statement, its ID number, true name, form of entity and the jurisdiction under
the law of which it is formed are
ID number
_________________________
(Colorado Secretary of State ID number)
True name
______________________________________________________
Form of entity
______________________________________________________
Jurisdiction
______________________________________________________.
2. The principal address of such entity and, if different, the mailing address of such entity are
Principal (street) address
______________________________________________________
(Street name and number)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(Zip/Postal Code)
_______________________ ______________
(Province – if applicable)
(Country)
Mailing address
______________________________________________________
(leave blank if same as street address)
(Street number and name or Post Office Box information)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(Zip/Postal Code)
_______________________ ______________.
(Province – if applicable)
(Country)
3.
(Mark the applicable box and complete the statement. Caution: Mark only one box.)
The trademark is a standard character trademark and the characters constituting the trademark are
__________________________________________________________________________________.
OR
The trademark is a special form trademark and a description of the attached drawing is
__________________________________________________________________________________.
4. A detailed description of the goods or services in connection with which the trademark is used is
_____________________________________________________________________________________.
The class into which such goods or services fall is _____________________________________________.
(Class)
TDMK_DLQ
Page 1 of 2
Rev. 10/31/2011
5. A description of the attached specimen sufficient to identify the nature of the specimen is
_____________________________________________________________________________________.
6. The date of first use in commerce of the trademark in this state by such entity or such entity’s predecessor
in interest is __________________________.
(mm/dd/yyyy)
7. The registrant identified above is currently using the trademark in commerce in this state and such registrant
believes, in good faith, that such registrant has the right to use the trademark in connection with the goods
or services listed above and such registrant’s use of the trademark does not infringe the rights of any other
person in that trademark.
8.
(If applicable, adopt the following statement by marking the box and include an attachment.)
This document contains additional information as provided by law.
Notice:
Causing this document to be delivered to the Secretary of State for filing shall constitute the affirmation or
acknowledgment of each individual causing such delivery, under penalties of perjury, that such document is
such individual's act and deed, or that such individual in good faith believes such document is the act and deed
of the person on whose behalf such individual is causing such document to be delivered for filing, taken in
conformity with the requirements of part 3 of article 90 of title 7, C.R.S. and, if applicable, the constituent
documents and the organic statutes, and that such individual in good faith believes the facts stated in such
document are true and such document complies with the requirements of that Part, the constituent documents,
and the organic statutes.
This perjury notice applies to each individual who causes this document to be delivered to the Secretary of
State, whether or not such individual is identified in this document as one who has caused it to be delivered.
9. The true name and mailing address of the individual causing this document to be delivered for filing are
____________________ ______________ ______________ _____
(Last)
(First)
(Middle)
(Suffix)
______________________________________________________
(Street number and name or Post Office Box information)
______________________________________________________
_
_
__
__________________________
____________________
(City)
(State)
(Zip/Postal Code)
_______________________ ______________.
(Province – if applicable)
(Country)
(If applicable, adopt the following statement by marking the box and include an attachment.)
This document contains the true name and mailing address of one or more additional individuals
causing the document to be delivered for filing.
Disclaimer:
This form/cover sheet, and any related instructions, are not intended to provide legal, business or tax advice,
and are furnished without representation or warranty. While this form/cover sheet is believed to satisfy
minimum legal requirements as of its revision date, compliance with applicable law, as the same may be
amended from time to time, remains the responsibility of the user of this form/cover sheet. Questions should
be addressed to the user’s legal, business or tax advisor(s).
TDMK_DLQ
Page 2 of 2
Rev. 10/31/2011
Page of 2