Letter of cancellation
You may cancel for any reason. All cancellations become effective the day the letter of cancellation is received by
the Division. To cancel a Trademark or Service Mark Registration a letter of cancellation must be presented to the
division. The cancellation letter should include the following information:
By signing this document, I request the Utah Division of Corporations and Commercial Code to cancel and
remove from the active records of the division the State Trademark or Service Mark Registration in item #1.
1) Correct Name/Description of Trademark or Service Mark Registration to be canceled.
____________________________________________________________________________________________
2) Registration Number of the Trademark or Service Mark to be canceled.
___________________________________________
3) Address of the Applicant of the Trademark or Service Mark Registration.
____________________________________________________________________________________________
Address City State Zip
4) Name & Signature of the applicant/owner.
Under penalties of perjury and as an authorized authority, I declare that this statement of cancellation, has been
examined by me and is, to the best of my knowledge and belief, true, correct and complete.
__________________________________________ ______________________________________
Applicant/Owner Signature of Applicant/Owner
State of Utah
DEPARTMENT OF COMMERCE
Division of Corporations & Commercial Code
Cancellation of State Trademark or Service Mark Registration
Under GRAMA {63G-2-201}, all registration information maintained by the Division is classified as public record. For confidentiality purposes,
you may use the business entity physical address rather than the residential or private address of any individual affiliated with the entity.
This form cannot be hand written.
Business Registration - Optional Inclusion of Ownership Data
Sign here after the form is printed
Mailing/Faxing Information:
www.corporations.utah.gov/contactus.html
www.corporations.utah.gov
