Fillable Tm Emblem Registration 20090701 Emblem Registration

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Tm Emblem Registration 20090701 Emblem Registration

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The Tm Emblem Registration 20090701 Emblem Registration form is 2 pages long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for State of South Dakota

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State of South Dakota
Secretary of State Office
500 E Capitol Ave
Pierre, SD 57501
(605) 773-3537
Emblem Registration Application
SDCL 43-44-3
FILING FEE: $75 payable to SECRETARY OF STATE
Attach two specimens or facsimiles of the Emblem
1. Applicant: ____________________________________________________________________________________
Address: ___________________________________________ City: ____________________________________
County: ___________________________________ State: __________________ Zip: _____________________
2. If a Corporation, where incorporated: _______________________________________________________________
3. If a partnership, list name and address of partner(s):
_______________________________________________________________________________________________
Partner Address City State ZIP
_______________________________________________________________________________________________
Partner Address City State ZIP
_______________________________________________________________________________________________
Partner Address City State ZIP
4. If an association, list name and address of officer(s):
_______________________________________________________________________________________________
Officer Address City State ZIP
_______________________________________________________________________________________________
Officer Address City State ZIP
_______________________________________________________________________________________________
Officer Address City State ZIP
5. Name of Emblem:
6. Description of Emblem:
7. Mode or manner in which the Emblem is used:
Emblem Application 07/01/2009 Page 1 of 2
Clear Form
HELP
Emblem Application 07/01/2009 Page 2 of 2
8. Date the Emblem was first used by Applicant or Predecessor:
a. In the United States: _________________________________________
b. In the State of South Dakota: ___________________________________
*** This section is to be completed in the presence of a Notary Public ***
State of _________________________ )
)§§
County of ________________________ )
I, ___________________________________________________ , __________________________________________
(Print Name of Applicant) (Title)
of ______________________________________________________________________________________________
(Print Corporation-Partnership-Association)
do solemnly swear that the above named applicant is the owner of the Emblem and that no other person has the right to
use such Mark in the State of South Dakota either in the identical form thereof or in such near resemblance thereto as
might be calculated to deceive or to be mistaken therefor.
Dated _________________________________ By: ___________________________________________
(Applicant Signature)
___________________________________________
(Title)
Subscribed and sworn to before me this _______ day of ________________________ , 20 _______.
_________________________________ ______________________________________________
My Commission Expires Notary Publi
c
(Notarial Seal)
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Tm Emblem Registration 20090701 Emblem Registration

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Completed 4 July 2020

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