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STATE OF NEW HAMPSHIRE - SECRETARY OF STATE ASSIGNMENT OF TRADEMARK/SERVICE MARK REGISTRATION RSA 350-A:6 Assignor name Assignor business address Description of mark Recorded in Volume
Class #
Page
Registration Date
Assignee name Assignee business address Statement: For good and valuable consideration, receipt of which is hereby
acknowledged,
does hereby assign to (name of assignor) all right, title and interest in and to (name of assignee) the mark listed above, together with the good will of the business in which
the mark is used (or that part of the good will of the business connected with the use of and symbolized by the mark) and the registration thereof.
(signed by assignor, with title) (print or type name) Subscribed and sworn to before me this day of ,
(signature of notary public)
Enclose fee ($10.00) payable to SECRETARY OF STATE. Mail to: Corporation Division, Department of State, 107 North Main Street, Concord NH 03301-4989
12/03
TM-7
CD Misc. TM-7 V-1.0