Arizona Trademark Registration Application Form

Sending a completed copy of this form with attached $15.00 filing fee to the Arizona Secretary of State’s office will allow an individual to successfully register a trademark.

Extracted Text for Proper Search

P a g e  	1 o f  2 	
 
Office Form SOSBS	TM	.doc	 
 
State of Arizona	 	
Trademark/Service Mark Application	 	
 	
 	
 	FOR 	OFFICE 	USE ONLY 	– REV. 10/01/11	 	
Mail to: 	Arizona Secretary of State Ken Bennett	 	
Atte	ntion: Business Services, Trademark	Division	 	
1700 W. Washington Street, 7th Fl., Phoenix, AZ 85007	-2888	 	
(602) 542	-6187  (800) 458	-5842 (within Arizona)	 	
Website: www.azsos.gov	 	
The r	egistration of a 	Trademark is 	not legally required in Arizona	,  	
but is	 an accepted business practice. 	The registration of a Trade	mark	 is a public record and 	
does not constitute exclusive rights to the holder of the 	Mark	. 	
 	
 	 	
TRADEMARK 	APPLICATION	 	 About this Application	 	How to complete this form	 	 First time applicants 	applying for a Trademark or Service Mark 	und	er A.R.S. §§ 44	-1441 to 44	-1455 use this form.	 	 Applicants who are renewing a Trademark on file shall use the Trademark Renewal Form.	 	 Filing Fee:	  $15; expedited service, an additional $25 fee	 	Payment:	  Checks or	 money orders shall be made payable to the 	Secretary of State	. Credit cards are not accepted.	 	Processing: 	 2-3 weeks	; expedited service, usually 24	-48hrs	 	Address Change: 	If you relocate, please remember to 	complete an 	amendment form to update 	the new addre	ss with our office.	 	
 To avoid registration errors please write legibly or computer generate this Trademark Application. This form has been designed to be filled out and printed online at the website referenced above. 	 	 Read this app	lication carefully, and 	fill in all blank spaces.	 	 Sign and date the application and have it notarized.	 	File by mail with payment to the address above, or	 	Return in person at the following locations:	 	PHOENIX 	- State Capitol 	Executive Tower	 	1700 W. Washington Street	 	First Floor, Ro	om 103	 	
TUCSON 	- Arizona State Complex 	Building	 	400 W. Congress	 	Second Floor, Room 252	 	Open Monday 	- Friday, 8 a.m. 	- 5 p.m., except state holidays.	 	 	 	
1. 	Trademark/Service Mark information	 to be registered	 	SPACE 	BELOW 	FOR 	OFFICE 	USE ONLY 	- VALIDATION 	AREA	 	
Written Description: Provide an accurate written description of your mark (logo or symbol)	 	 	
 
 
 
 	 	
 	 	
 	 	
2. 	Name of entity or individual to which the trademark will be registered. 	 	
If owner is an individual, list the individual’s name; if the 	owner is a corp, l	ist the corporation’s name; etc	 	 If two applicants, list both.	 	
1st Applicant Name	 	2nd Applicant Name	 	
Mailing Address (include street, box or suite number)	 	City	 	State	 	Zip Code	 	
Products or Goods: Provide a description of goods on which 	this mark is used	 	 	Business 	Phone Number 	- optional (include area code)	 	
What type of entity will function as the owner of this trade	mark	?	
  INDIVIDUAL	 	  FOREIGN CORPORATION  	(Licensed to do business within Arizona)	 	  ORGANIZATION	 	
  PARTNERSHIP		  ASSOCIATION	 	  OTHER  	(If other, please indicate type below	) 	
  CORPORATION* 		  LIMITED LIABILITY CO	MPANY	 (LLC)*	 	______________________________________	 	
*If choosing LLC or Corp, the signer must be listed on the Arizona Corporation Commission’s website as a member or officer. 	 	If either is checked and not currently incorporated, the application will be returned.	 	
The date in which the	 Mark was first used 	by the applicant	. 	Month	 Day	 	Year	 	Date Mark was first used in the state of Arizona. 	This 	date must be today’s date or prior to today’s dat	e.	Month	 	
 	
Day	 	Year	 	
DO NOT 	WRITE IN 	THIS 	SPACE

State of Arizona	 	
TRADEMARK/SERVICE MARK	 REGISTRATION FORM	 	
Arizona Secretary of State’s Office	 	
 	
P a g e  	2 o f  2 	
 
Office Form SOSBS	TMapptm.doc	 	
3. Trademark/Service Mark Samples	 	
Attach three samples of the trademark/service mark with this application on 8 1/2 by 11 inch (letter) paper that can be 
photocopied clearly. 	 Examples: letterhead, business card, advertisement, etc.	 	
Classification Number(s): refer to the Trade Name & 	Trademark book :	 	
 
 
4. Applicant’s Signature	  If two applicants are listed above, both must sign.	 	
1st Signer	’s  Printed 	Name	 	Signature	 	Month	 	Day	 	Year	 	
2nd Signer	’s Printed 	Name	 	Signature	 	Month	 	Day	 	Year	 	
 
State of Arizona	 	 	 	) 	County of ___________________ 	 	) ) 	 	On this 	______ day of ________________________, 20 ____	 	
 	 	
 	 	                           	  (Na	me of Signer	 Appearing Before Notary	) 	
APPLICANT MUST BE AT LEAST 18	 	 	personally appeared before me and acknowledged that 	he/she signed this 	document for it’s stated purpose.	 	 	
 	 	 	
   	
 I have enclose	d a check or money order for $15	 made payable to 	“Secretary of State”	 	
 I have attached three samples with this registration form as requested in Section 3.