Non-Refundable Fee: $7.00
Date:_______________
To Whom It May Concern:
Please accept this letter as the Assignment of this Utah Trademark. The Assignor acknowledges and does hereby
assign, transfer and set over to said Assignee all its rights, title and interest in, to and under said Mark together
with the goodwill of the business symbolized by the Mark, together with all rights and privileges granted and
secured thereby. The Assignor also acknowledges the assignment.
____________________________________________________________________________________________
Name of Trademark
TM# ____________________
This mark is assigned by instrument:
[ ] License [ ] Mortgage [ ] Security Interest [ ] Other _____________________
Assignor and Assignee have executed this Assignment by their proper officers there unto duly authorized.
ASSIGNOR: ASSIGNEE:
Name_______________________________________ Name_______________________________________
Address_____________________________________ Address_____________________________________
City, State, Zip_______________________________ City, State, Zip_______________________________
An assignment of any registration is void as against any subsequent purchaser for valuable consideration without
notice, unless the assignment is filed with the division within three months after the date of the assignment or
before the subsequent purchase.
Under penalties of perjury, I declare that this application for Assignment of Trademark has been examined by me
and is, to the best of my knowledge and belief, true, correct and complete.
______________________________________ ____________________________________
Authorized Signer Signature Title
State of Utah
DEPARTMENT OF COMMERCE
Division of Corporations & Commercial Code
Assignment of Utah Trademark
Under GRAMA {63-2-201}, 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
Authorized party must sign here after the form is printed
Mailing/Faxing Information:
www.corporations.utah.gov/contactus.html
www.corporations.utah.gov
