Assignment of registered trademark. _________[name of assignor], of _________[street, city, and state], has adopted, used and is using a mark which is registered in the United States Patent and Trademark Office, Registration No. _________, dated _________; and _________[name of assignee] of _________[street, city, and state] is desirous of acquiring that mark and the registration of it; Now, therefore, for good and valuable consideration, receipt of which is here acknowledged, _________[name of assignor] does here assign unto _________[name of assignee] all right, title and interest in and to that mark, together with the goodwill of the business symbolized by the mark, and the above-identified registration of the mark. _________[Signature of assignor; if assignor is a corporation or other juristic organization, give the official title of the person who signs for assignor.] State of _________ ss County of _________
On this _________ day of _________, before me appeared _________, the person who signed this instrument, who acknowledged that he/she signed it as a free act on his/her own behalf [or on behalf of the identified corporation or other juristic entity with authority to do so]. _________, Notary Public