Missouri Trademark Servicemark Assignment Form

In the case of wanting to assign a trademark or service mark that is already registered in the State of Missouri to another person, the following form has to be completed and submitted along with a $55 filing fee.

Extracted Text for Proper Search

State of Missouri	
Assignment of Mark Registration	
Whereas 	
(name of assignor)	
of	
(address)	
has adopted, used and is using a mark which is registered in the State of Missouri, Registration
No. , dated ; and
Whereas	
(name of assignee)	
of	
(address)	
is desirous of acquiring said mark and the registration thereof;
Now, therefore, for good and valuable consideration, receipt of which is hereby
acknowledged, said	
(name of assignor)	
does hereby assign unto the said	
(name of assignee)	
all right, title and interest in and to the said mark, together with the good will of the business symbolized by the
mark, and the above identified registration thereof.	
(Signature and title of assignors if assignor is a business entity or
other juristic organization.)	
State of 
County of 
On this day of , before me appeared .
The person who signed this instrument, who acknowledged that he/she signed it as a free act on his/her own behalf
(or on behalf of the identified corporation or other juristic entity with authority to do so).
Return completed form to:	
(signature of notary public)
Corporations Section
Typed or printed name	
PO Box 778	State of	
Jefferson City, MO 65102-0778	Commissioned for County	
(866) 223-6535	My commission expires	
TMSM 30 (06/2012)

STATE OF MISSOURI
Secretary of State’s Office
Corporations Section
PO Box 778
Jefferson City, MO 65102-0778
(866) 223-6535
ASSIGNMENT OF MARK REGISTRATION INSTRUCTIONS
1. Provide the name and address of the person or business entity who registered the mark.
2. Provide the Missouri Registration Number from the Certificate of Registration and the original date of regis-
tration.
3. Provide the name and address of the new owner (individual or business entity).
4. Complete the name of the assignor (person or business entity who is assigning mark to new owner).
5. Provide the name of the assignee (new owner).
6. The assignment form is to be signed by assignor.
7. The assignment form is to be notarized. The notary public is to sign the form and also include their embossed
or rubber stamp seal on the document. Any additional notary information required by state law is also to be
completed by the notary public.
8. The fee for assigning a mark is $55.00. All checks or money orders should be made payable to the Director of
Revenue.
9. Send a separate form and check for each assignment application or mark.
10. A certificate will be issued in the name of the assignee (new owner) for the remainder of the term of registration.
It will be mailed to the assignee or representative of the assignee.
11. Completed assignment forms and fee should be returned to the Secretary of State’s Office, Corporations Sec-
tion, PO Box 778, Jefferson City, MO 65102-0778.
12. If you have any questions regarding the completion of this form, please call our office at (866) 223-6535.	
TMSM 30 (06/2012)