State of California Secretary of State
Assignment of Trademark or Service Mark (Business and Professions Code section 14220(a))
ASSIGNMENT APPLICATION FOR (Check One): TRADEMARK SERVICE MARK 1. NAME OF ASSIGNOR (Owner of mark as registered in the Secretary of State’s office) 2. NAME OF ASSIGNEE (Person to whom ownership of mark is transferred) 3. BUSINESS ADDRESS OF ASSIGNEE
CITY STATE ZIP CODE 4. BUSINESS STRUCTURE OF ASSIGNEE (Check One and Complete)
CORPORATION (State of Incorporation)_____________________________ SOLE PROPRIETOR
LIMITED LIABILITY COMPANY (State of Organization) ____________________________ SPOUSES, AS COMMUNITY PROPERTY
LIMITED PARTNERSHIP (State of Organization) ____________________________ DOMESTIC PARTNERS, AS COMMUNITY PROPERTY
GENERAL PARTNERSHIP (State of Organization) ____________________________ OTHER (Describe) ________________________________ 5. NAMES OF GENERAL PARTNERS, IF ASSIGNEE IS A PARTNERSHIP 6. NAME AND/OR DESCRIPTION OF TRADEMARK OR SERVICE MARK 7. TRADEMARK OR SERVICE MARK REGISTRATION NUMBER 8. DATE OF REGISTRATION 9. Assignor hereby assigns to assignee all rights, title and interest in the mark, together with the good will of the business in which the mark is used (or that part of the good will of the business connected with the use of and symbolized by the mark) and the registration thereof. Please Note: Signature must be acknowledged by a Notary Public. _________________________________________________ DATE _________________________________________________ ___________________________________________________ SIGNATURE OF ASSIGNOR-OWNER OF MARK TYPE OR PRINT NAME AND TITLE 10. RETURN ACKNOWLEDGMENT TO: (Type or Print)
NAME
ADDRESS
CITY/STATE/ZIP
IMPORTANT – Read instructions before completing this form.
SEC/STATE TM 108 (REV. 09/2023) (Page 1 of 2) FILING FEE: $30.00
THIS SPACE FOR FILING OFFICER USE TRADEMARK OR SERVICE MARK
REG. NO. _______________________
ASSIGN. NO. ____________________
ACKNOWLEDGMENT
State of California County of _____________________________)
On _________________________ before me, _________________________________________ (insert name and title of the officer) personally appeared ______________________________________________________________, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Signature ______________________________ (Seal)
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
SEC/STATE TM 108 (REV. 09/2023) (Page 2 of 2) FILING FEE: $30.00
Instructions for Completing Assignment of Trademark or Service Mark
Type or print in blue or black ink. Mail the assignment with original signatures and filing fee of $30.00 to the Secretary of State, Trademark Unit, P.O. Box 942870, Sacramento, CA 94277-2870.
Indicate at the top of the application which type of registration is being assigned.
Item 1. Enter the complete name of the assignor (owner of the mark as currently registered with the Secretary of State’s office).
Item 2. Enter the complete name of the assignee (person to whom ownership of the mark is being transferred).
Item 3. Enter the complete business address of the assignee.
Item 4. Identify the business structure of the assignee by checking the appropriate box. If a corporation, limited liability company, limited partnership or general partnership, list the state of origination.
Item 5. Enter the names of the general partners, if assignee is a partnership.
Item 6. Enter the name and/or description of the Trademark or Service Mark as registered.
Item 7. Enter the Trademark or Service Mark registration number.
Item 8. Enter the original date of registration of the Trademark or Service Mark.
Item 9. Date, sign, and print the name of the assignor (owner of the mark as currently registered with the
Secretary of State’s office). The signature must be acknowledged by a notary public on the reverse side of the assignment. If the registrant is a corporation, an officer of the corporation must sign the application. Include the title of the officer (i.e. President, Vice-President, Secretary, etc.) If the registrant is a limited liability company, a member or manager of the limited liability company must sign the application. Include the title; either Member or Manager. If the registrant is a partnership, a general partner of the partnership must sign the application. Include the title of the general partner. This office will accept a statement attached to the application that the individual signing the application is authorized to do so for the registrant.
Item 10. Enter the name and address of the person or company to receive the Certificate of Registration for the remainder of the term.