Free Trademark / Service Mark Disclaimer - Massachusetts


File Size: 92.8 kB
Pages: 1
Date: October 27, 2006
File Format: PDF
State: Massachusetts
Category: Trademark
Word Count: 124 Words, 1,518 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.sec.state.ma.us/cor/corpdf/c110hs3disclaimer.pdf

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The Commonwealth of Massachusetts
William Francis Galvin Secretary of the Commonwealth One Ashburton Place, Boston, Massachusetts 02108-1512

FORM MUST BE TYPED

Trademark / Service Mark Disclaimer
(To be filed with registration)

FORM MUST BE TYPED

(General Laws Chapter 110H, Section 3)
All information must be completed or this document will not be accepted for filing. (1) Applicant's legal name and business address: or b) Business Organization: _____________________________________________________________________________ Business address: _________________________________________________________________________________ Number Street _________________________________________________________________________________ City State Zip a) Individual: ______________________________________________________________________________________ Last First Middle Business address: _________________________________________________________________________________ Number Street _________________________________________________________________________________ City State Zip



(2) I hereby disclaim the exclusive right to use the following descriptive, generic or geographically descriptive components of the mark (describe portion of text or feature disclaimed): Executed on: _________________________________________________________________________________________ Month Day Year Signature: ____________________________________________________________________________________________

c110hs3disclaimer 10/25/06