Free APPLICATION - South Dakota

State of South Dakota Mark Registration Assignment
SDCL 37-6-17

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FILING FEE: $125 payable to SECRETARY OF STATE

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1. Name of the Mark being assigned:

2. Date the registration was issued for the Mark in South Dakota ____________________________________________ 3. Assignor: _____________________________________________________________________________________ Address: ___________________________________________ City: ____________________________________ County: ___________________________________ State: __________________ Zip: _____________________ Business Telephone Number: ______________________________ 4. Assignee: ____________________________________________________________________________________ Address: ___________________________________________ City: ____________________________________ County: ___________________________________ State: __________________ Zip: _____________________ Business Telephone Number: ______________________________ 5. If a Corporation, where incorporated: _______________________________________________________________ 6. If a partnership, list name and address of partner(s): _______________________________________________________________________________________________
Partner Address City State ZIP

_______________________________________________________________________________________________
Partner Address City State ZIP

_______________________________________________________________________________________________
Partner Address City State ZIP

7. Classification of Goods or Services Number: __________________ 8. Description of goods or services connected with Mark:

Trademark Assignment 07/01/2009

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*** This section is to be completed in the presence of a Notary Public ***
WHEREAS, the assignee is desirous of acquiring said Mark; WHEREAS, the assignor has adopted and used in its business and is the owner of the aforementioned Mark; and NOW, THEREFORE, To All Whom It May Concern: BE IT KNOWN THAT for and in consideration of the sum of ____________ and other good and valuable consideration to it in hand paid, the receipt of which is hereby acknowledged, said _____________________________________ by these (Assignor) presents does sell, assign and transfer unto the said __________________________________ the entire right, title (Assignee) and interest in and to the said Mark and registration thereof, together with the good will of the business in which the Mark is used, or with that part of the good will of the business connected with the use of and symbolized by the Mark.

Dated _________________________________

By: ___________________________________________ (Assignor) ___________________________________________ (Title)

ACKNOWLEDGMENT: State of _________________________ ) )§§ County of ________________________ ) Subscribed and sworn to before me this _______ day of ________________________ , 20 _______ , before me, ______________________________, the undersigned officer, personally appeared _____________________________ known to me or satisfactorily proven to be the person who executed the foregoing instrument, and acknowledged that this person executed the some of his own free act and deed.

In witness whereof, I hereunto set my hand and official seal.

_________________________________ My Commission Expires

______________________________________________ Notary Public

(Notarial Seal)

Return to: SECRETARY OF STATE 500 East Capitol Pierre, SD 57501 (605) 773-3539

Trademark Assignment 07/01/2009

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