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Missouri Trademark Servicemark Renewal Form

In the case of a registered trademark or service mark in the State of Missouri wanting to renew its registration, the following form has to be completed and submitted.

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UNUMEPLURIBUS	MISSOURI SECRETARY OF STATE
TRADEMARK AND SERVICE MARK:
RENEWAL APPLICATION	
APPLICANT’S NAME:
STREET ADDRESS:
CITY: STATE: ZIP: PHONE
IF APPLICANT IS A BUSINES ENTITY, GIVE STATE OF REGISTRATION:	
Do not write in this space	
Signature of ApplicantTitle Date
Return Acknowledgement to: (Please print)
Name:
Address:
City/State/Zip:
Return completed application along with the fee of $15.00 to: Corporations Section
PO Box 778
Jefferson City, MO 65102-0778
Checks made payable to: Director of Revenue
TMSM 17 (05/2012)
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