Free ASSIGNMENT OF REGISTRATION - Nebraska

ASSIGNMENT OF REGISTRATION TRADE NAME
John A. Gale, Secretary of State Room 1301 State Capitol, P.O. Box 94608 Lincoln, NE 68509 (402) 471-4079
http://www.sos.state.ne.us

Submit in Duplicate Trade Name to be assigned__________________________________________________ Whereas________________________________ ________________________________
Name of Assignor City State Zip Street Address

_________________________________________________ has adopted, used and is using the trade name which is registered with the Nebraska Secretary of State, and whereas: ___________________________________ __________________________________
Name of Assignee City State Zip Street Address

_________________________________________________ desires to acquire said trade name and registration thereto:

Now, therefore, 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 said
Name of Assignee

trade name. _____________________________________ Signature of Assignor

FILING FEE: $5.00

Revised 09/09/2005