Connecticut Trademark Cancellation Form

If you wish to cancel the registration of a trademark in the State of Connecticut, you have to use this form. Once the trademark’s registration has been canceled, any person or entity are allowed to use it.

Extracted Text for Proper Search

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
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 
EXCEPTION: $25.00 FILING FEE FOR 
COLLECTIVE OR CERTIFICATION MARK.. 
MAKE CHECKS PAYABLE TO "SECRETARY 
OF THE STATE" 
 	
1. NAME OF RECORD OWNER:
2. STATE OF FORMATION OF THE OWNER  	(IF OTHER THAN A NATURAL PERSON): 	 	
3. CONNECTICUT REGISTRATION NUMBER:
THE ABOVE OWNER HEREBY APPLIES FOR CANCELLATION OF THE REGISTRATION BEAR\
ING THE NUMBER 
STATED IN ITEM NUMBER 3 ABOVE
4. EXECUTION: 
I HEREBY DECLARE UNDER THE PENALTIES OF FALSE STATEMENT THAT THE STATEME\
NTS MADE IN THE 
FOREGOING APPLICATION ARE TRUE.	
DATED THIS                                     DAY OF                   \
                                  , 20 	
NAME OF SIGNATORY	CAPACITY/TITLE OF SIGNATORY	SIGNATURE	
PAGE 1 OF 1 FORM TMC-1-1.0 
Rev. 7/2010
APPLICATION FOR CANCELLATION 
OF A REGISTERED MARK