Form SS-4266 "Application for Change of Address Trademark or Service Mark" - Tennessee

What Is Form SS-4266?

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

Form Details:

  • Released on May 1, 2016;
  • The latest edition provided by the Tennessee 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 SS-4266 by clicking the link below or browse more documents and templates provided by the Tennessee Secretary of State.

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Download Form SS-4266 "Application for Change of Address Trademark or Service Mark" - Tennessee

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SS-4266 (5/16)
Business Services Division
Tre Hargett, Secretary of State
State of Tennessee
INSTRUCTIONS
APPLICATION FOR CHANGE OF ADDRESS
TRADEMARK OR SERVICE MARK
SUBMISSION OPTIONS
Applications may be filed using one of the following methods:
Paper submission: A blank application may be obtained by going to http://www.tn.gov/sos/forms/ss-4266.pdf,
by emailing the Secretary of State at TNSOS.ATS@tn.gov, or by calling (615) 741-0531. The application must be
hand printed in ink or computer generated and mailed along with the required filing fee to the Secretary of State’s
office at 6th FL – Snodgrass Tower ATTN: Trademarks, 312 Rosa L. Parks AVE, Nashville, TN 37243.
Walk-in: A blank application may be obtained in person at the Secretary of State Business Services Division
located at 6th FL – Snodgrass Tower, 312 Rosa L. Parks AVE, Nashville, TN 37243.
Applications must be accurately completed in their entirety. Cover forms that are inaccurate, incomplete or
illegible will be rejected.
APPLICANT INFORMATION
1. Name of the mark: Enter the mark’s name as given on the original application.
2. Mark number: Enter the mark’s number as assinged at the time of filing the original application.
3. The owner of record of the mark is: Enter the name of the person or entity who currently owns the mark.
4. The new business address of the owner is: Enter the complete business address. The address must include
a street address or post office box (or both), city, state and zip code.
SIGNATURE AND VERIFICATION
By signing the application, the applicant verifies under penlty of perjury that all the statements on the
application are true and correct.
This application must be signed by the applicant. Failure to sign the application will result in the application
being rejected.
Type or Print Name & Title. Failure to type or print the signature name and title of the signer (if the
applicant is a business entity) will result in the application being rejected.
NO FILING FEE
SS-4266 (5/16)
Business Services Division
Tre Hargett, Secretary of State
State of Tennessee
INSTRUCTIONS
APPLICATION FOR CHANGE OF ADDRESS
TRADEMARK OR SERVICE MARK
SUBMISSION OPTIONS
Applications may be filed using one of the following methods:
Paper submission: A blank application may be obtained by going to http://www.tn.gov/sos/forms/ss-4266.pdf,
by emailing the Secretary of State at TNSOS.ATS@tn.gov, or by calling (615) 741-0531. The application must be
hand printed in ink or computer generated and mailed along with the required filing fee to the Secretary of State’s
office at 6th FL – Snodgrass Tower ATTN: Trademarks, 312 Rosa L. Parks AVE, Nashville, TN 37243.
Walk-in: A blank application may be obtained in person at the Secretary of State Business Services Division
located at 6th FL – Snodgrass Tower, 312 Rosa L. Parks AVE, Nashville, TN 37243.
Applications must be accurately completed in their entirety. Cover forms that are inaccurate, incomplete or
illegible will be rejected.
APPLICANT INFORMATION
1. Name of the mark: Enter the mark’s name as given on the original application.
2. Mark number: Enter the mark’s number as assinged at the time of filing the original application.
3. The owner of record of the mark is: Enter the name of the person or entity who currently owns the mark.
4. The new business address of the owner is: Enter the complete business address. The address must include
a street address or post office box (or both), city, state and zip code.
SIGNATURE AND VERIFICATION
By signing the application, the applicant verifies under penlty of perjury that all the statements on the
application are true and correct.
This application must be signed by the applicant. Failure to sign the application will result in the application
being rejected.
Type or Print Name & Title. Failure to type or print the signature name and title of the signer (if the
applicant is a business entity) will result in the application being rejected.
NO FILING FEE
APPLICATION FOR CHANGE OF ADDRESS
(SS-4266)
TRADEMARK OR SERVICE MARK
For Office Use Only
Business Services Division
Tre Hargett, Secretary of State
State of Tennessee
312 Rosa L. Parks Ave., 6th Fl.
Nashville, TN 37243
(615) 741-0531
No Filing Fee
In compliance with the requirements of T.C.A. § 47-25-507, the undersigned hereby submits a change
of address for the owner of a trademark or service mark registered in Tennessee:
1. Name of the mark: ������������������������������������������������������������������������������
2. Mark number:
3. The owner of record of the mark is:
4. The new business address of the owner is:
Business Address:
City:
State:
Zip Code:
I declare under penalty of perjury the foregoing statements are true and correct.
Signature Date
Applicant’s Signature
Applicant’s Name and Title (printed or typed)
*Note: Pursuant to T.C.A. § 10-7-503 all information on this form is public record.
Submitter Information: Name:
Phone #: (
)
SS-4266 (Rev. 5/16)
RDA 1764
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