"Statement of Withdrawal of Trademark Registration - Sample" - Colorado

Statement of Withdrawal of Trademark Registration - Sample is a legal document that was released by the Colorado Secretary of State - a government authority operating within Colorado.

Form Details:

  • Released on January 1, 2008;
  • The latest edition currently provided by the Colorado Secretary of State;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Colorado Secretary of State.

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Download "Statement of Withdrawal of Trademark Registration - 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 Withdrawal of Trademark Registration
filed pursuant to § 7-70-105 of the Colorado Revised Statutes (C.R.S.)
1. The entity ID number, if applicable, and the true name of the trademark registrant are
Entity ID number
__________________________
(if applicable)
(Colorado Secretary of State ID number)
True name
______________________________________________________.
2. The trademark ID number of the statement of trademark registration to be withdrawn and the trademark as
stated in such statement of trademark registration are
Trademark ID number
_________________________
Trademark
____________________________________________________________________________________.
3. Such statement of trademark registration is withdrawn.
4.
(If applicable, adopt the following statement by marking the box and include an attachment.)
This document contains additional information as provided by law.
5.
(Caution: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has
significant legal consequences. Read instructions before entering a date.)
(If the following statement applies, adopt the statement by entering a date and, if applicable, time using the required format.)
The delayed effective date and, if applicable, time of this document are ____________________________.
(mm/dd/yyyy hour:minute am/pm)
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.
6. 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)
______________________________________________________
TDMK_WDR
Page 1 of 2
Rev. 1/01/2008
Form must be filed electronically.
Paper forms are not accepted.
This copy is a sample and cannot be submitted for filing.
Statement of Withdrawal of Trademark Registration
filed pursuant to § 7-70-105 of the Colorado Revised Statutes (C.R.S.)
1. The entity ID number, if applicable, and the true name of the trademark registrant are
Entity ID number
__________________________
(if applicable)
(Colorado Secretary of State ID number)
True name
______________________________________________________.
2. The trademark ID number of the statement of trademark registration to be withdrawn and the trademark as
stated in such statement of trademark registration are
Trademark ID number
_________________________
Trademark
____________________________________________________________________________________.
3. Such statement of trademark registration is withdrawn.
4.
(If applicable, adopt the following statement by marking the box and include an attachment.)
This document contains additional information as provided by law.
5.
(Caution: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has
significant legal consequences. Read instructions before entering a date.)
(If the following statement applies, adopt the statement by entering a date and, if applicable, time using the required format.)
The delayed effective date and, if applicable, time of this document are ____________________________.
(mm/dd/yyyy hour:minute am/pm)
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.
6. 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)
______________________________________________________
TDMK_WDR
Page 1 of 2
Rev. 1/01/2008
__________________________ _____
___________________
(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_WDR
Page 2 of 2
Rev. 1/01/2008
Page of 2