Maryland Tradename Cancellation Form

In the case of a business entity wanting to cancel a registered trademark in the State of Maryland, the Maryland Tradename Cancellation Form has to be completed and submitted along with a $25 filing fee.

Extracted Text for Proper Search

State of Maryland 	
Department of Assessments and Taxation 	
Charter Division 	
 	
TRADE NAME CANCELLATION APPLICATION 	
 
FILING FEE:  $25.00	
 
EXPEDITED SERVICE FEE IS AN ADDITIONAL $50.00	
 	
(MAKE CHECKS PAYABLE TO DEPARTMENT OF ASSESSMENTS AND TAXATION) 
 
 	
TRADE NAME: ____________________________________________________________\
______ 
   	
(LIST TRADE NAME EXACTLY AS FILED ON THE ORGINAL APPLICATION) 
 	
 	(ATTACH AN ADDITIONAL SHEET FOR ADDITIONAL INFORMATION AS NEEDED) 
 
 	
 
 
 
 
 
 
_________________________________________   _________________________________________  
SIGNATURE OF OWNER   (AUTHORIZED TITLE)    SIGNATURE OF OWNER   (AUTHORIZED TITLE) 
 
 
 
_________________________________________   _________________________________________  
SIGNATURE OF OWNER   (AUTHORIZED TITLE)    SIGNATURE OF OWNER   (AUTHORIZED TITLE) 
 
 
 
_________________________________________   _________________________________________  
SIGNATURE OF OWNER   (AUTHORIZED TITLE)    SIGNATURE OF OWNER   (AUTHORIZED TITLE) 
 
* The original owner (s) who signed the Trade Name Application must sign in order to cancel the Trade Name. 
** If deceased attach copy  of the Death Certificate. 
 
Return Address: 
 
_________________________________________________ 
 
_________________________________________________ 
 
_________________________________________________ 
 
 
   	
Room 801—30l West Preston Street-Baltimore, Maryland 21201 
Phone: (410) 767-1350 - Fax: (410) 333-7097 – TTY Users call Maryland Relay 1-800-735-2258  Toll Free in MD: 1-888-246-5941 – website:  http://www.dat.state.md.us	
 
 	
             rev 9/10