UNITED STATES PATENT AND TRADEMARK
OFFICE
TRADEMARK EXAMINING OPERATION
(Notice of Mark)
In
re Application of:
________________________________________
Serial
No. ____________________
Filed: _____________________ (Date)
Mark: ____________________
Assistant
Commissioner for Trademarks
2900
Crystal Drive
Arlington,
VA 22202
Applicant
requests registration of the above-identified trademark in the United States
Patent and Trademark Office on the Principal Register established by the Act of
July 5, 1946 (15 U.S.C. 1051 et seq., as amended). Three samples showing the mark as used in commerce are submitted
with this amendment.
Applicant
is using the mark in commerce on or in connection with the following goods:
____________________________________________________________________________________________________________________________________________
The mark was first used on _________________
(Date)
The
mark was first used in __________________ (Place where mark was first placed).
The
trademark is used by applying the label for the goods.
The
fee of $100 for this amendment is submitted herewith pursuant to 37 C.F.R. 2.6.
The
undersigned, being hereby warned that willful false statements and the like so
made are punishable by fine or imprisonment, or both, under 18 U.S.C. 1001, and
that such willful false statements may jeopardize the validity of the
application or any resulting
registration, declares that he is properly authorized to execute this Amendment
to Allege Use on behalf of the Applicant;
he believes the Applicant to be the owner of the mark sought to be
registered; the trademark is now in use
in commerce; and all statements made of
his own knowledge are true and all statements made on information and belief are
believed to be true.
___________________________________
(Name of Company)
By: _______________________ Date: _______________
(Name / Title)
