Wyoming Secretary of State
State Capitol Building, Room 110 200 West 24th Street Cheyenne, WY 82002-0020 Ph. 307.777.7311 Fax 307.777.5339 Email: [email protected]
For Office Use Only
Assignment of Trademark Registration
WHEREAS
(name of assignor), of (address) has adopted, used
and is using the mark which is registered with the Secretary of State, Registration Number WHEREAS
; and
(assignee) of (address) is desirous of
acquiring said mark and registration thereof; NOW, THEREFORE, for good and valuable consideration, receipt of which is hereby acknowledged said
(assignor) does hereby assign unto said (assignee) all right, title and interest in and to
said mark, together with the good will of the business in which the trademark is used (or that part of the good will of the business connected with the use of and symbolized by the trademark) and the Registration Number thereof. Assignor Signature: ______________________________________________ Print Name: State of ____________________) County of __________________) Subscribed and sworn to before this __________________ day of _____________________________________, ___________. (Notarial Seal) ____________________________________________ Notary Public
My commission expires: _______________________ Contact Person: Daytime Phone Number:
Checklist Filing Fee: $25.00 Make check or money order payable to Wyoming Secretary of State. Enclose a facsimile of the mark as it is actually used. Please submit one originally signed document and one exact photocopy of the filing. Please review form prior to submitting to the Secretary of State to ensure all areas have been completed to avoid a delay in the processing of your documents.
TM-Assignment - Revised 12/2008