Get GA SOS TMAPPL

00 payable to Secretary of State. Filing fees are NON-refundable. STATE OF COUNTY OF Sworn to and subscribed before me this Day of My Commission Expires NOTARY PUBLIC FORM TMAPPL. OFFICE OF SECRETARY OF STATE CORPORATIONS DIVISION Suite 315 West Tower 2 Martin Luther King Jr. Drive Atlanta Georgia 30334-1530 404 656-2861 Trademark Search and Status Information on the Internet http //www. sos. state. ga*us/corporations/marksearch. htm Brian Kemp Secretary of State APPLICATION FOR REGISTRATION TRADEMARK OR SERVICE MARK DO NOT WRITE IN SHADED AREA - SOS USE ONLY DOCKET REGISTRATION DATE FILED CODE MARK VERIFICATION AMOUNT RECEIVED CHECK/ RECEIPT NOTICE TO APPLICANT PRINT PLAINLY OR TYPE REMAINDER OF THIS FORM. In compliance with the requirements of O. C. G*A. 10-1-442 the undersigned having adopted and used a Trademark or Service Mark in this state for the purposes provided in the Code Chapter and desiring to file the same for public record in the Office of the Secretary of State of Georgia does hereby certify the following Name of Applicant Principal Business Address City State Zip Code If applicant is a corporation please indicate the state of incorporation Describe the mark. The description you provide is the way the mark will be registered* See General instructions Attach additional sheet if necessary A If a trademark what goods are offered or sold under the mark OR B If a service mark what services are provided under the mark Class No Date of first use of the mark by applicant predecessor or licensee. Give Month Day and Year A separate application must be filed for each class in which a registration of the mark is sought. A anywhere B In Georgia The applicant is the owner of the mark described herein and to the best of his/her knowledge no other person except the applicant has the right to use such mark in this State either in its identical form or in such near resemblance thereto as to be likely to cause confusion or mistake or to deceive. Signature of Applicant Print Name Official Title If signing for a corporation Phone Number Mail or deliver to the Secretary of State at the above address the following This COMPLETED application* Three 3 specimens of the mark as currently used* May be 3 samples of the same specimen* If Trademark should be actual label or packaging used on product. If Service mark should be advertising such as newspaper ad brochure etc* depicting the service rendered* A filing fee of 15. OFFICE OF SECRETARY OF STATE CORPORATIONS DIVISION Suite 315 West Tower 2 Martin Luther King Jr. Drive Atlanta Georgia 30334-1530 404 656-2861 Trademark Search and Status Information on the Internet http //www. sos. state. ga*us/corporations/marksearch. htm Brian Kemp Secretary of State APPLICATION FOR REGISTRATION TRADEMARK OR SERVICE MARK DO NOT WRITE IN SHADED AREA - SOS USE ONLY DOCKET REGISTRATION DATE FILED CODE MARK VERIFICATION AMOUNT RECEIVED CHECK/ RECEIPT NOTICE TO APPLICANT PRINT PLAINLY OR TYPE REMAINDER OF THIS FORM. sos. state. ga*us/corporations/marksearch. htm Brian Kemp Secretary of State APPLICATION FOR REGISTRATION TRADEMARK OR SERVICE MARK DO NOT WRITE IN SHADED AREA - SOS USE ONLY DOCKET REGISTRATION DATE FILED CODE MARK VERIFICATION AMOUNT RECEIVED CHECK/ RECEIPT NOTICE TO APPLICANT PRINT PLAINLY OR TYPE REMAINDER OF THIS FORM. In compliance with the requirements of O. C. G*A. 10-1-442 the undersigned having adopted and used a Trademark or Service Mark in this state for the purposes provided in the Code Chapter and desiring to file the same for public record in the Office of the Secretary of State of Georgia does hereby certify the following Name of Applicant Principal Business Address City State Zip Code If applicant is a corporation please indicate the state of incorporation Describe the mark. .