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E mark pursuant to NJSA 56. Applicants are responsible for strict adherence to all requirements set forth in State law. 1. Trade/Service Mark Number: (as assigned by the Treasurer and listed on the Certificate of Registration) 2. Owner Information: a. Name: (must match the name shown on the Division of Revenue s records) b. Business Address: (must match the address shown on the Division of Revenue s records) 3.Signature(s): The undersigned request that the mark be cancelled.
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