"Statement of Transfer of Trademark Registration Transferring a Trademark to an Individual Not a Resident of Colorado - Sample" - Colorado

Statement of Transfer of Trademark Registration Transferring a Trademark to an Individual Not a Resident of Colorado - 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;
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Download "Statement of Transfer of Trademark Registration Transferring a Trademark to an Individual Not a Resident of Colorado - 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 Transfer of Trademark Registration
Transferring a Trademark to an Individual Not a Resident of Colorado
filed pursuant to § 7-70-106 of the Colorado Revised Statutes (C.R.S.)
1. The entity ID number, if applicable, and the true name of the trademark registrant transferring the
trademark are
Entity ID number
__________________________
(if applicable)
(Colorado Secretary of State ID number)
True name
______________________________________________________.
2. The trademark ID number and the trademark as stated in the statement of trademark registration are
Trademark ID number
__________________________
(Colorado Secretary of State ID number)
Trademark
______________________________________________________.
3. The true name of the transferee is
______________________ ________________ ______________ _______.
(Last)
(First)
(Middle)
(Suffix)
4. The principal address of such transferee and, if different, the mailing address of such transferee are
Principal (street) address
______________________________________________________
(Street number and name)
______________________________________________________
__________________________ ____ ____________________
(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)
5.
(Mark the applicable box and complete the statement. Caution: Mark only one box.)
Such transferee does not maintain a registered agent in this state and the mailing address to which
service of process in any proceeding based on a cause of action with respect to the statement of
trademark registration may be mailed pursuant to section 7-70-108, C.R.S. is
______________________________________________________
(Street number and name or Post Office Box information)
______________________________________________________
__________________________
___
____________________
(City)
(State)
(Zip/Postal Code)
TDMK_TRF_NOTCO
Page 1 of 3
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 Transfer of Trademark Registration
Transferring a Trademark to an Individual Not a Resident of Colorado
filed pursuant to § 7-70-106 of the Colorado Revised Statutes (C.R.S.)
1. The entity ID number, if applicable, and the true name of the trademark registrant transferring the
trademark are
Entity ID number
__________________________
(if applicable)
(Colorado Secretary of State ID number)
True name
______________________________________________________.
2. The trademark ID number and the trademark as stated in the statement of trademark registration are
Trademark ID number
__________________________
(Colorado Secretary of State ID number)
Trademark
______________________________________________________.
3. The true name of the transferee is
______________________ ________________ ______________ _______.
(Last)
(First)
(Middle)
(Suffix)
4. The principal address of such transferee and, if different, the mailing address of such transferee are
Principal (street) address
______________________________________________________
(Street number and name)
______________________________________________________
__________________________ ____ ____________________
(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)
5.
(Mark the applicable box and complete the statement. Caution: Mark only one box.)
Such transferee does not maintain a registered agent in this state and the mailing address to which
service of process in any proceeding based on a cause of action with respect to the statement of
trademark registration may be mailed pursuant to section 7-70-108, C.R.S. is
______________________________________________________
(Street number and name or Post Office Box information)
______________________________________________________
__________________________
___
____________________
(City)
(State)
(Zip/Postal Code)
TDMK_TRF_NOTCO
Page 1 of 3
Rev. 1/01/2008
_______________________ ______________.
(Province – if applicable)
(Country)
OR
Such transferee maintains a registered agent in this state and such registered agent’s name and address
are
Name
(if an individual)
____________________ ______________ ______________ _____
(Last)
(First)
(Middle)
(Suffix)
OR
(if an entity)
______________________________________________________
(Caution: Do not provide both an individual and an entity name.)
Street address
______________________________________________________
(Street number and name)
______________________________________________________
__________________________
CO
____________________
(City)
(State)
(Zip Code)
Mailing address
______________________________________________________
(leave blank if same as street address)
(Street number and name or Post Office Box information)
______________________________________________________
__________________________
CO
____________________.
(City)
(State)
(Zip Code)
The person appointed as registered agent has consented to being so appointed.
6.
(Mark the applicable box. Caution: Mark only one box.)
Such registrant has transferred to such transferee the rights to the trademark, including all associated
goodwill, to which such statement of trademark registration pertains.
OR
Such transferee has by operation of law succeeded to the rights to the trademark, including all
associated goodwill, to which such statement of trademark registration pertains.
7.
(If applicable, adopt the following statement by marking the box and include an attachment.)
This document contains additional information as provided by law.
8.
(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
TDMK_TRF_NOTCO
Page 2 of 3
Rev. 1/01/2008
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_TRF_NOTCO
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Rev. 1/01/2008
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