Wyoming Trademark Assignment Form

The following assignment has to be submitted by the applicant, approved and sent to the Secretary of State’s office plus a fee of $25. The assignment is to be sent to the State Capitol Building.Download

Extracted Text for Proper Search

For Office Use Only  	
 	Wyoming Secretary of State 	
  State Capitol Building, Room 110 
   200 West 24	th Street  
  Cheyenne, W Y 82002-0020 
  Ph. 307.777.7311 
  Fax 307.777.5339 
  Email: [email protected]	
  	
 	
 
TM -Assignment  - Revised 09/2012	
 	
 	
Assignment of  Trade mark Registration 	
 
WHEREAS                                                                                                                                                          	(name of assignor)	, of  	
 
                                                                                                                                                                   	(address)  	has adopted, used  	
 
and is using the mark which is registered with the Secretary of State, Registration Number                                                      ;  and  
 
WHEREAS                                                                                                                                                                        	(assignee)	 of 	
 
                                                                                                                                                                           	(address) 	is desirous of  	
 
acquiring said mark and registration thereof;  
 
NOW, THEREFORE, for good and valuable consideration, receipt of which is hereby acknowledged said   
 
                                                                                                                                                 	(assignor)	 does hereby assign unto  said 	
 
                                                                                                                                       	(assignee)	 all right, title and  interest in and to 	
 
said mark, together with the good will of the business in which  the  trademark  is used (or  that part of the good will of the 
business connected with the use of and symbolized by the trademark) and  the Registration Number 
thereof.  
Assignor Signature: ______________________________________________  
 
      Print Name:  
 
       Email: 
 
State of ____________________)   
County of __________________) 
 
Subscribed and sworn to before this ________ __________ day of ______________________ _______________, ______ _____. 
 
(Notarial Seal)  
____________________________________________ 
Notary  Public  
 
 
My commission expires: _______________________  
 
Contact Person:  
Daytime Phone Number:   
 
 
 
 Checklist	 	
           Filing Fee: $25.00     Make check or money order payable to Wyoming Secretary of State.  
           Enclose a facsimile of the mark as it is actually used.  
           Please submit one originally signed  document and one exact photocopy of the filing. 
           Please review form prior to submitting to the Secretary of State to ensure all areas have been completed to avoid   
        	  a delay in the processing of your documents.