Fillable Inhs27 Assignment (Florida Division of Corporations)

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Inhs27 Assignment (Florida Division of Corporations)

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FLORIDA DEPARTMENT OF STATE
DIVISION OF CORPORATIONS
Attached are the form and instructions to assign a trademark and/or service
mark registration.
•
The fee to file the assignment is $50 per class. Please make the
check
payable
to the Florida Department of State. Please be advised that a
certificate reflecting the name and address of the new owner is free of charge
and will automatically be returned with your letter of acknowledgment.
•
The assignment must be signed by the assignor (the old owner) and the
assignee (the new owner). Both signatures must be notarized.
Any further inquiries concerning this matter should be directed to the
Registration Section by calling (850) 245-6051.
Mailing Address: Street Address:
Registration Section Registration Section
Division of Corporations Division of Corporations
P.O. Box 6327 The Centre of Tallahassee
Tallahassee, FL 32314 2415 N. Monroe Street, Suite 810
Tallahassee, FL 32303
INHS27 (1/11)
COVER LETTER
TO
: Registration Section
Division of Corporations
SUBJECT:
(Name of Mark to be assigned)
Dear Sir or Madam:
The enclosed Mark Assignment and fee(s) are submitted for filing.
Please
return all correspondence concerning this matter to the following:
(Name of Person)
(Firm/Company)
(Address)
(City/State and Zip
Code)
For further information concerning this matter, please
call:
at (
)
(Name
of Person) (Area Code & Daytime Telephone Number)
Mailing Address: Street Address:
Registration Section Registration Section
Division of Corporations Division of Corporations
P.O. Box 6327 The Centre of Tallahassee
Tallahassee, FL 32314 2415 N. Monroe Street, Suite 810
Tallahassee, FL 32303
FILING FEE: $50 per class
_____
_________________________
ASSIGNMENT OF MARK
REGISTRATION
1.
The
mark
to
be
assigned
is:
2.
Registration
Numb
er:
3. (
a
) Ass
i
gnor’s n
ame:
(b) Assignor’s Business Address:
City/State/Zip
If
Different,
Assignor’s
Mailing
Address:
City/State/Zip
4. (
a
) Ass
i
gn
ee
’s n
ame:
(b) Assignee’s Business Address:
City/State/Zip
If
Different,
Assignee’s
Mailing
Address:
City/State/Zip
(c)
Assignee’s
telephone
number:
( )
Individual
Corporation
Joint Venture
Limited Liability Company
General Partnership
Limited Partnership
Union
Other:
If other than an individual,
(1)
Florida
registration/
document
number:
(2) Dom
icile
State:
(3)
Federal
Employer
Identification
Numb
er:
5. All right, title and interest in and to said mark, together with the good will of the business in which the mark
is
used (or that part of the good will of the business connected with the use of and symbolized by the mark) is
hereby
assigned by to .
(the Assignor) (the Assignee)
6. Assignor’s Signature:
By
(Typed
or Printed Name of Person Signing Above)
Sworn
to
and
subscribed
before
me
on
this
day
of , ,
(Name of Individual S
i
gn
i
ng)
who is personally known to me whose identity I proved on the basis of
(Notary
Seal)
Signature of Notary
Public
7. Assi
gnee
’s
Signature:
By
(Typed
or Printed Name of Person Signing Above)
Sworn to and subscribed before me on this
day of , ,
(Name of Individual Signing)
who
is
personally
known
to
me
whose
identity
I
proved
on
the
basis of
(Notary Seal)
Signature of Notary
Public
FILING FEE: $50 per class
Division of Corporations P. O. Box 6327 Tallahassee, FL 32314
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Inhs27 Assignment (Florida Division of Corporations)

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Completed 15 July 2020

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