Maine Trademark Application Mark Disclaimer Form

Maine Trademark Application Mark Disclaimer.pdf Attach this form to the trademark application.Download

Extracted Text for Proper Search

STATE OF MAINE 	
 	
MARK DISCLAIMER 
(To be filed with registration) 	
 
 
A.  I hereby disclaim the exclusive right to (describe portion of text or feature disclaimed): 
 
 _______________________________________________________________________\
_______________________________ 
 
 _______________________________________________________________________\
_______________________________ 
 
 
  In regards to the registration of: 
 
B.  1.  TEXT - list word(s) to be protected, if any (if none, so indicate): 
 
 _______________________________________________________________________\
_______________________________ 
 
 _______________________________________________________________________\
_______________________________ 
 
 
  2.  FEATURES  - describe in detail the design to be protected, if any (if none, so indicate): 
 
 _______________________________________________________________________\
_______________________________ 
 
 _______________________________________________________________________\
_______________________________ 
 
 	
NOTE:  Text and Features must be stated as appears on registration form.  	
 
C.  TYPE OF MARK:   ("X" one box only) 
 
 …  Trademark - a mark applied to goods applicant manufactures or sells. 
 
  …  Service Mark  - a mark used in connection with services applicant provides. 
 
 …  Combined Service/Trademark - a mark applied to goods 	and	 used in connection with services provided by the applicant. 	
 
  …  Certification Mark - a mark used by an organization to certify the characteristics of goods or services provided by others. 
 
  …  Collective Mark  - a mark used by members of a collective organization in connection with goods or services to indicate 
membership. 
 
D.   I understand that I may not prevent another from using the disclaimed portion of this mark except as it might directly infring e 
  on my rights as holder of this registered mark. 
 
 
Dated: ________________________________   ___________________________________________________ 
             (applicant's signature) 
   
  
 
 
 
 
 
The execution of this certificate constitutes an oath or affirmation under the penalties of false swearing under 	17-A MRSA §453	. 	 
Submit completed form to:    Secretary of State 
    Division of Corp orations, UCC and Commissions 
        101 State House Station, Augusta, ME  04333-0101 	
     Telephone Inquiries:   (207) 624-7752 Email Inquiries:  	[email protected]	
       
 
  
  FORM NO. MARK-1A    Rev. 10/29/2008                                     \