REGISTRATION OF TRADEMARK ASSIGNMENT PTO MODEL FORM
RECITALS
A. _________________________________________________ (Name of Assignor), of ________________________________________________________ (Address) has adopted, used and is using a mark that is registered in the United States Patent and Trademark Office, Registration Number ____________, dated ___________________. B. __________________________________________________ (Name of Assignee), of _______________________________________________________ (Address) desires to acquire such mark and its registration.
In consideration of the foregoing, and for other good and valuable consideration, receipt of which is hereby acknowledged, _________________________________ (Name of Assignor) does hereby assign to _______________________________________ (Name of Assignee) all rights, title and interest in and to the mark described herein, together with the good will of business symbolized by such mark, in the above-identified registration thereof.
Signature of assignor; if assignor is corporation or other juristic organization, give official title of person who signs for assignor.
State of: _______________________________
County of: _____________________________
On this _____________________ day of _____________________ (Month and Year), before me appeared __________________________________, the person who signed this instrument on __________ (His or Her) own behalf, or who was authorized to sign
this instrument on behalf of the identified corporation or juristic entity, who being sworn, acknowledged that __________ (He or She) signed this instrument as a free act.
_____________________________ Signature
_____________________ Date
Notary's stamp or seal