Free tmsm 30 - Missouri

STATE OF MISSOURI Secretary of State's office Commissions Division PO Box 784 Jefferson City, MO 65102 573-751-2783 ASSIGNMENT OF MARK REGISTRATION INSTRUCTIONS 1. 2. 3. 4. 5. 6. 7. Fill in the name and address of the person or corporation who registered the mark. Fill in the Missouri Registration Number from the Certificate of Registration and the original date of registration. Fill in the name and address of the new owner (individual or corporation). Complete the name of the assignor (person or corporation who is assigning mark to new owner). Fill in the name of the assignee (new owner). The assignment form is to be signed by assignor. The assignment form is to be notarized. The notary public is to sign the form and also include their embossed or rubber stamp seal on the document. Any additional notary information required by state law is also to be completed by the notary public. The fee for assigning a mark is $50.00. All checks or money orders should be made payable to the Director of Revenue. Send a separate check for each assignment application or mark. A certificate will be issued in the name of the assignee (new owner) for the remainder of the term of registration. It will be mailed to the assignee or representative of the assignee. Completed assignment forms and fee should be returned to the Secretary of State's Office, Commissions Division, PO Box 784, Jefferson City, MO 65102 If you have any questions regarding the completion of this form, please call our office at 573-751-2783.

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TMSM 30 (05-09)

State of Missouri
Assignment of Mark Registration
Whereas ______________________________________________________________________
(name of assignor)

of ___________________________________________________________________________
(address)

has adopted, used and is using a mark which is registered in the State of Missouri, Registration No. ____________, dated ____________________________________________________; and Whereas ______________________________________________________________________
(name of assignee)

of ___________________________________________________________________________
(address)

is desirous of acquiring said mark and the registration thereof; Now, therefore, for good and valuable consideration, receipt of which is hereby acknowledged, said _____________________________________________________________
(name of assignor)

does hereby assign unto the said ___________________________________________________
(name of assignee)

all right, title and interest in and to the said mark, together with the good will of the business symbolized by the mark, and the above identified registration thereof. _________________________________________
(signature of assignors if assignor is a corporation or other juristic organization, give the official title of the person who signs for assignors)

State of ____________ County of __________ On this ___________ day of _______________, before me appeared _________________. The person who signed this instrument, who acknowledged that he/she signed it as a free act on his/her own behalf (or on behalf of the identified corporation or other juristic entity with authority to do so). _________________________________________ (signature of notary public) Return completed form to: Commissions Division Typed or printed name ______________________ PO Box 784 State of __________________________________ Jefferson City, MO 65102 Commissioned for ____________________ County (573) 751-2783 My commission expires _____________________
TMSM 30 (10-07)