"Statement of Change of Trademark Information Changing the Registered Agent Information - Sample" - Colorado

Statement of Change of Trademark Information Changing the Registered Agent Information - 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 Change of Trademark Information Changing the Registered Agent Information - 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 Change of Trademark Information
Changing the Registered Agent Information
filed pursuant to § 7-90-305.5 and § 7-90-702 of the Colorado Revised Statutes (C.R.S.)
1. The trademark ID number, the true name of the trademark registrant, and the trademark as stated in the
statement of trademark registration are
Trademark ID number
__________________________
(Colorado Secretary of State ID number)
True name
______________________________________________________
Trademark
______________________________________________________.
2. The document number of the filed document that is changed is ____________________________________.
3.
(If applicable, adopt the following statement by marking the box and enter all changes.)
The registered agent name has changed.
Such name, as changed, is
Name
(if an individual)
____________________ ______________ ______________ _____
(Last)
(First)
(Middle)
(Suffix)
OR
(if an entity)
______________________________________________________
(Caution: Do not provide both an individual and an entity name.)
The person appointed as registered agent has consented to being so appointed.
4.
(If applicable, adopt the following statement by marking the box and enter all changes.)
The street address of such registered agent has changed.
Such street address, as changed, is
Street address
______________________________________________________
(Street number and name)
______________________________________________________
__________________________
CO
____________________.
(City)
(State)
(Zip Code)
5.
(If applicable, adopt the following statement by marking the box. Enter all changes OR mark the box to remove the mailing address.)
The mailing address of such registered agent has changed.
Such mailing address, as changed, is
Mailing address
______________________________________________________
(Street number and name or Post Office Box information)
______________________________________________________
TDMK_CHANGE_RA
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 Change of Trademark Information
Changing the Registered Agent Information
filed pursuant to § 7-90-305.5 and § 7-90-702 of the Colorado Revised Statutes (C.R.S.)
1. The trademark ID number, the true name of the trademark registrant, and the trademark as stated in the
statement of trademark registration are
Trademark ID number
__________________________
(Colorado Secretary of State ID number)
True name
______________________________________________________
Trademark
______________________________________________________.
2. The document number of the filed document that is changed is ____________________________________.
3.
(If applicable, adopt the following statement by marking the box and enter all changes.)
The registered agent name has changed.
Such name, as changed, is
Name
(if an individual)
____________________ ______________ ______________ _____
(Last)
(First)
(Middle)
(Suffix)
OR
(if an entity)
______________________________________________________
(Caution: Do not provide both an individual and an entity name.)
The person appointed as registered agent has consented to being so appointed.
4.
(If applicable, adopt the following statement by marking the box and enter all changes.)
The street address of such registered agent has changed.
Such street address, as changed, is
Street address
______________________________________________________
(Street number and name)
______________________________________________________
__________________________
CO
____________________.
(City)
(State)
(Zip Code)
5.
(If applicable, adopt the following statement by marking the box. Enter all changes OR mark the box to remove the mailing address.)
The mailing address of such registered agent has changed.
Such mailing address, as changed, is
Mailing address
______________________________________________________
(Street number and name or Post Office Box information)
______________________________________________________
TDMK_CHANGE_RA
Page 1 of 3
Rev. 1/01/2008
__________________________
CO
____________________.
(City)
(State)
(Zip Code)
(If applicable, adopt the following statement by marking the box.)
The mailing address in the records of the Secretary of State is no longer different than the street
address and is no longer required.
6.
(If the registered agent address or the registered agent name of the registered agent, or both, have changed and the registered agent is the
person delivering this document for filing, the following statement applies.)
The person appointed as registered agent has delivered notice of the change to the entity or other
applicable person.
7.
(If applicable, adopt the following statement by marking the box.)
This document is delivered for filing to comply with section 7-90-702 (2), C.R.S. and does not change
the registered agent information currently of record.
8.
(If applicable, adopt the following statement by marking the box and include an attachment.)
This document contains additional information as provided by law.
9.
(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.
10. 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.
TDMK_CHANGE_RA
Page 2 of 3
Rev. 1/01/2008
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_CHANGE_RA
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Rev. 1/01/2008
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