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Alaska Trademark Change of Information Form

To request for the modification of certain details in a registered trademark, the holder must send this form to the Division of Corporations, Business, and Professional Licensing and pay for the $25.00 filing fee.

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08-555 (Rev.02/01/2012)	 	Change of Registrant Information Instructions 	 	 	
CHANGE OF REGISTRANT INFORMATION OF  
TRADEMARK, SERVICE MARK, COLLECTIVE MARK, OR CERTIFICATION MARK 	
AS 45.50.125 
Filing Fee: $25.00 (non-refundable)  	
 	
 
INSTRUCTIONS (Please retain for your records): 
Refer to Alaska Statutes 45.50.125. If you need assistance in completing your filing, it is advised that 
you seek legal counsel. Please be aware that this filing will become public information. 
ITEM 1: Name registration number of mark 
Provide the name registration number of the mark as stated on the certificate of registration. 
  
ITEM 2: Previous registrant 
Provide the name and business mailing address of previous registrant. 
 
ITEM 3: Current registrant 
Provide the name and business mailing address of current registrant. 
 
ITEM 4: Signature 
The previous or current registrant may sign this application.  
 
NOTE: Persons who sign documents filed with the commissioner that are known to the person to be false in 
material respects, is guilty of a class A misdemeanor.  
 
Mail the Articles of Incorporation and the non-refundable $25.00 filing fee in U.S. dollars to: 
State of Alaska Corporations Section, PO Box 110806, Juneau, AK  99811-0806 
 
STANDARD PROCESSING TIME for complete and correct applications submitted to this office is 
approximately 10-15 business days. All applications are reviewed in the date order they are received.   
   	
State of Alaska 
Division of Corporations, Business and Professional Licensing 
CORPORATIONS SECTION 
PO Box 110806 
Juneau, AK  99811-0806 
Phone: (907) 465-2550 
Fax: (907) 465-2974 
Website: www.commerce.alaska.gov/occ

08-555 (Rev. 02/01/2012)    Page 1 of 1      
 	State of Alaska 
Division of Corporations, Business and Professional Licensing 
CORPORATIONS SECTION 
PO Box 110806 
Juneau, AK  99811-0806 
Phone: (907) 465-2550 
Fax: (907) 465-2974 
Website: www.commerce.alaska.gov/occ	
 	
DO NOT STAMP ABOVE THIS BOX 
Office Use Only	       CORP	 
 
 
 
 	
 
CHANGE OF REGISTRANT INFORMATION OF 
TRADEMARK, SERVICE MARK, COLLECTIVE MARK, OR 
CERTIFICATION MARK 	
AS 45.50.125 	
   	  $25.00 Filing Fee (non-refundable) 	 	
Pursuant to Alaska Statutes 45.50.125 the following will apply to the mark registration on file with this office:  
 
ITEM 1: Name of the mark:  Registration #: 
 
  
 
ITEM 2: Name and business mailing address of previous registrant 
Name: 
Physical address: 
Mailing address: 
 
ITEM 3: Name and business mailing address of current registrant 
Name: 
Physical address: 
Mailing address: 
 
ITEM 4: Signature. The signer must be the either registrant. 
   
Signature of registrant                                   Printed Name of registrant                  Date 
 
NOTE: Persons who sign documents filed with the commissioner that are known to the person to be false in 
material respects, is guilty of a class A misdemeanor.  
 
Mail the document and the non-refundable $25.00 filing fee in U.S. dollars to: 
State of Alaska Corporations Section, PO Box 110806, Juneau, AK  99811-0806 
 
STANDARD PROCESSING TIME for complete and correct applications submitted to this office is 
approximately 10-15 business days. All applications are reviewed in the date order they are received.

08-561 (Rev. 02/01/2012)        Page 1 of 1      
 	State of Alaska 
Division of Corporations, Business and Professional Licensing 
CORPORATIONS SECTION 
PO Box 110806 
Juneau, AK  99811-0806 
Phone: (907) 465-2550 
Fax: (907) 465-2974 
Website: www.commerce.alaska.gov/occ	
 	
DO NOT STAMP ABOVE THIS BOX 
Office Use Only	       CORP	 
 
 
 
 	
 
 
CONTACT INFORMATION SHEET  	
 
Please return this document with your filing. This information will only be used to resolve questions with the filings 
attached. NOTE: this form will not be filed for record or appear online. 
 
Name of entity as it appears on filing: 
 
 
 
To resolve questions with this filing, contact: 
Name: 
Email: Phone: 
Mailing address: 
 
Return documents to: 
Name: 
Company: 
Mailing address: 
 
Attach this form to your filings. Send all documents to: 
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK  99811-0806 
 
STANDARD PROCESSING TIME for complete and correct applications submitted to this office is 
approximately 10-15 business days. All applications are reviewed in the date order they are received.
Next: Alaska Trademark Assignment Form Previous: Alaska Trademark Renewal Form
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