Connecticut Trademark Application Form

If you want to apply for registering a trademark in the State of Connecticut, you have to use this form. Complete all the information that is required in the form and send it along with a $50 filing fee.

Extracted Text for Proper Search

APPLICATION FOR 
A CERTIFICATE OF REGISTRATION 
OF A TRADE OR SERVICE MARK
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS I\
F NECESSARY.
ADDRESS:
CITY:
STATE:ZIP:
FILING PARTY 	(CONFIRMATION WILL BE SENT TO THIS ADDRESS)	:	
NAME:	
FILING FEE: $50 
MAKE CHECKS PAYABLE TO "SECRETARY 
OF THE STATE" 
 	
1. NAME OF OWNER OF MARK:
ADDRESS:
CITY:
STATE:ZIP:
2. ADDRESS OF OWNER:
3. STATE OR COUNTRY OF FORMATION OF THE OWNER 	(IF OTHER THAN A NATURAL PERSON):	 
   4. PLEASE PROVIDE A COMPLETE DESCRIPTION OF THE MARK:	
   5. THE GOODS OR SERVICES ON OR IN CONNECTION WITH WHICH THE MARK IS USED\
:
   6. USE THIS SPACE TO DISCLAIM THE EXCLUSIVE RIGHT TO USE ANY DESCRIPTIVE\
, GENERIC OR           
       GEOGRAPHICALLY DESCRIPTIVE COMPONENTS OF THE MARK:
   7. THE CLASS OF THE GOODS OR SERVICES STATED IN ITEM NUMBER 5:
PAGE 1 OF 2 FORM TMA-1-1.0 
Rev. 12/2010
NOTE: ONE APPLICATION PER GOOD/SERVICE. (PARTNERSHIPS - REFERENCE & ATTACH 81/2 X 11 LIST OF PARTNERS)	
SECRETARY OF THE STATE OF CONNECTICUT 
MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. \
BOX 150470, HARTFORD, CT 06115-0470
 
DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 T\
RINITY STREET, HARTFORD, CT 06106  
PHONE: 	
860-509-6003  	WEBSITE: 	www.concord-sots.ct.gov

PAGE 2 OF 2FORM TMA-1-1.0 
Rev. 12/2010
  9. THE DATE ON WHICH THE MARK WAS FIRST USED IN CONNECTICUT:
10. THE MODE, MANNER OR METHOD OF APPLYING, AFFIXING OR OTHERWISE USING \
THE MARK ON OR   
      IN CONNECTION WITH  SUCH GOODS OR SERVICES:
 11. HAVE APPLICATIONS TO REGISTER THE MARK OR PORTIONS OR COMPOSITES TH\
EREOF BEEN FILED IN 
      THE UNITED STATES PATENT OR TRADEMARK OFFICE?
 12. IF NO. 11 WAS ANSWERED YES, INDICATE THE FILING DATE, SERIAL NUMBER\
, STATUS, AND IF    
      REGISTRATION WAS REFUSED, THE REASONS FOR SUCH REFUSAL:
THE 
APPLICANT  IS THE  OWNER  OF THE  MARK  OR THE  OWNER'S  REPRESENTATIVE.  THE APPLICANT  ASSERTS THAT 
THE  MARK  IS NOT  KNOWN  TO BE THE  SUBJECT  MATTER OF AN  EXISTING  FEDERAL REGISTRATION  GRANTED TO 
ANOTHER  AND TO THE  BEST  OF THE  APPLICANT'S  KNOWLEDGE,  NO OTHER  PERSON  HAS THE RIGHT  TO USE  SUCH 
MARK  IN THIS  STATE  EITHER  IN THE  IDENTICAL  FORM THEREOF  OR IN SUCH  NEAR RESEMBLANCE  THERETO AS TO 
BE  LIKELY,  WHEN APPLIED  TO THE  GOODS  OR SERVICES  OF SUCH  OTHER  PERSON,  TO CAUSE  CONFUSION,  OR TO 
CAUSE  MISTAKE  OR TO DECEIVE  PURCHASERS.  THE APPLICANT  HEREBY DECLARES  UNDER THE PENALTIES  OF 
FALSE STATEMENT THAT THE STATEMENTS MADE IN THE FOREGOING APPLICATION AR\
E TRUE.
  13. NAME OF APPLICANT	 (IF OTHER THAN OWNER):	
   ADDRESS:
   CITY:
   STATE: ZIP:
   BUSINESS ADDRESS OF APPLICANT
14. EXECUTION:	
DATED THIS                                     DAY OF                   \
                                  , 20 	
  15.    NAME OF SIGNATORY	CAPACITY/TITLE OF SIGNATORY 
(If applicable)	     16. SIGNATURE	
17. THE APPLICANT MUST SUBMIT THREE SPECIMENS OR PHOTOGRAPHS OF THE MARK AS\
 ACTUALLY   
 USED IN THIS STATE.
   8. THE DATE ON WHICH THE MARK WAS FIRST USED ANYWHERE:	
Yes	No

INSTRUCTIONS 
    
  The following series of instructions have been compiled to assist you i\
n completing the Application for Registration of a     
  Connecticut Trade or Service Mark form. Numbers appearing on this inst\
ruction correspond with numbered blanks  
  appearing on the form.Examples provided in these instructions are fict\
itious and have been included to illustrate  
  applications of the instructions provided.  
  
  1. Name of Owner of Mark - Provide full legal name of the individual o\
r organization who or which actually owns the mark. 
  2. Address of owner of Mark - Provide full street address of mark's ow\
ner. Include street, city, state and zip code. 
  3. State or Country of Formation of the Owner - Complete only if owner\
 is  not a natural person by providing the owner's  
      state of  formation. 
     A. Note: if the owner of the mark is a partnership, it must attach \
a list of its partners to the application. 
  4. Description of the Mark - Provide in words, a full description of t\
he mark intended to be registered. 
     A. If the mark is composed of words alone, the description need onl\
y restate those words. 
             1. Example - The mark is SPINTECH. The description is SPINT\
ECH. 
     B. Logos, pictorial features, colors, or distinctive print styles, \
which are components of the mark, must be described in 
         writing. 
             1. Example description - SPINTECH appearing in yellow block\
 letters in the center of three horizontally arrayed  
         silver gears. 
     C. Please note that the written description defines the registratio\
n. All searches conducted by this office are based  
         upon the written description. It is important, therefore, to in\
clude all relevant description of the mark in item number 4. 
         Drawings or references to attached specimens will not substitut\
e for a full written description and must  not  
         appear in item number 4. 
  5. The goods or services on or in connection with which the mark is us\
ed - Provide the type of the goods or services,  
       which the mark identifies. This is usually a description of what \
the owner produces, e.g., Tires for a manufacturer of  
       Tires - Real Estate Services for a Real Estate Agency. 
  6. Disclaimers - The exclusive right to use any generic, descriptive o\
r geographically descriptive terms or features of the  
      mark must be disclaimed on the application. If such terms or featu\
res are not disclaimed, the application will have 
      to be returned for correction. Whether or not components of a mark\
 must be disclaimed depends largely upon the  
      goods or services in connection with which it is used.   A. Example - 
         1. The mark is described as: The words "Quickie Grocery of Meri\
den" contained within a bright orange triangle. 
         2. The services in connection with which the mark is used is: G\
rocery store services. 
         3. The disclaimer required is: The owner hereby disclaims the e\
xclusive right to use the terms "Grocery" & Meriden". 
  7. The class of goods or services - Select from the list of classes pr\
ovided in section 35-11h of the Connecticut General  
      Statutes. (This list has been reproduced for your convenience and\
 included within the application package). 
      A. Select the class into which the goods or services stated in ite\
m number 7 fall. If your mark identifies goods, select  
          a class from the group of trademark classes only. Otherwise, i\
f your mark identifies services, select a class from  
          the group of service mark classes only. 
      B. If you cannot find a class into which your mark falls please ch\
oose the appropriate miscellaneous class, 20 for  
          goods, 42 for services. 
      C. Only one class may be selected per application. Separate applic\
ations must be completed for marks, which identify 
          multiple classes of goods or services. 
  8. The date on which the mark was first used anywhere - Provide month,\
 day and year of the mark's first use anywhere. 
      A. The date of first use anywhere must  precede the date on which the application is submitted. 
  9. The date on which the mark was first used in Connecticut -Provide m\
onth, day and year of the mark's first use in  
      Connecticut. 
      A. The date of first use in Connecticut must  precede the date on which the application is submitted. 
 10. The mode, manner or method of applying, affixing or otherwise using\
 the mark - Provide the answer to the question:  
        where is the mark placed to identify the goods or services. 
  11. Application for registration of the mark with the United States Pa\
tent and Trademark office - Answer the question  
        provided in this item "yes" or "no".    
   
 
INSTRUCTIONS FORM TMA-1-1.0 
Rev. 12/2010	
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12. Specific information regarding registration of the mark with the Uni\
ted States Patent and Trademark Office - 
        A. Complete only if the answer to the question presented in item\
 number 11 is "yes". 
        B. Provide all of the requested information. 
   
  13. Name of Applicant: 
        A: If the owner is applying for registration of the mark, skip o\
ver number 13. 
        B. If the applicant is a person other than the owner, supply the\
 applicant's full legal name and complete business       
            address. 
   
  14. Date of Execution: Provide the date on which the application is si\
gned. 
  
  15. Name of Signatory: Print or type the name of the signatory. 
        A. If the owner/applicant is a natural person, leave the Title l\
ine blank 
        B. If the owner/applicant is not a natural person, e.g. a corpor\
ation, limited liability company, etc., provide the             
            signatory's title on the Title line. 
 
  16. Signature - The signatory named in item number 15 must provide an \
original signature. 
 
  17. Specimens or photocopies of the mark - All applications must inclu\
de three identical specimens of the mark or three  
        identical photographs showing the mark as actually used. Example\
s of specimens include product labels,           
        advertisements, flyers, etc. 
  
 Please note that specimens which are derived from newspaper advertiseme\
nts are not acceptable because they will     
 decay and cannot be maintained as part of this office's permanent recor\
ds. 
  
      A. The specimens or photographs should not be attached to the appl\
ication. 
      B. The specimens or photographs should not be larger than 3" X 3”\
.    
  
  
  
OFFICE OF THE SECRETARY OF THE STATE 
  
MAILING ADDRESS: 
COMMERCIAL RECORDING DIVISION, 
CONNECTICUT SECRETARY OF THE STATE, 
P.O. BOX 150470, 
HARTFORD, CT 06115-0470 
  
DELIVERY ADDRESS: 
COMMERCIAL RECORDING DIVISION, 
CONNECTICUT SECRETARY OF THE STATE, 
30 TRINITY STREET, 
HARTFORD, CT 06106 
  
PHONE: 860-509-6003     
  
WEBSITE:  www.concord-sots.ct.gov
INSTRUCTIONS FORM TMA-1-1.0 
Rev. 12/2010	
DO NOT SCAN THIS PAGE

Trade/Service Marks, See Title 35 of the Connecticut General Statutes	 
 
  STATUTORY CLASSES 
  The following is a list of all statutory classifications for Connectic\
ut Trade and Service Marks. From one 
   of the two possible categories, goods or services, please make the ap\
propriate selection and state the class 
   chosen on the application. Note: trademark registrants may only selec\
t from classes of goods and service 
   mark registrants may only select from classes of services. If the goo\
ds or services in connection with 
   which your mark is used do not fit squarely within the appropriate li\
st of classes below, please consider 
   selecting one of the miscellaneous classes (20 for goods, 42 for ser\
vices). See Connecticut General Statute 
   section 35-11h. 
  
    GOODS 
    1. Chemicals                                                        \
                        18. Leather Goods 
    2. Paints                                                           \
                            19. Nonmetallic Building Materials 
    3. Cosmetics and Cleaning Preparations                              \
       20. Furniture and Articles not Otherwise Classified 
    4. Lubricants and Fuels         21. Housewares and Glass 
    5. Pharmaceuticals                                  22. Cordage and Fibers 
    6. Metal Goods           23. Yarns and Threads 
    7. Machinery           24. Fabrics 
    8. Hand Tools                                                       \
                        25. Clothing 
    9. Electrical and Scientific Apparatus                              \
             26. Fancy Goods 
  10. Medical Apparatus          27. Floor Coverings 
  11. Environmental Control Apparatus                     28. Toys and Sporting Goods 
  12. Vehicles                                                                           29. Meats and Processed Foods 
  13. Firearms           30. Staple Foods 
  14. Jewelry                       31. Natural Agricultural Products 
  15. Musical Instruments          32. Light Beverages 
  16. Paper Goods and Printed matter                    33. Wines and Spirits 
  17. Rubber Goods          34. Smokers' Articles 
   
  SERVICES 
  35. Advertising and Business            
  36. Insurance and Financial            
  37. Construction and Repair          
  38. Communication 
  39. Transportation and Storage 
  40. Material Treatment 
  41. Education and Entertainment  
  42. Miscellaneous
INSTRUCTIONS FORM TMA-1-1.0 
Rev. 12/2010	
DO NOT SCAN THIS PAGE