Application For Renewal Of Trademark, Service Mark, Certification Mark Or Collective Mark Page 2
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1
2GENERAL INFORMATION
This renewal form can only be filed during the six months preceding the expiration date. The renewal cannot be accepted
before or after this six month time period.
Retain the original signed copy of this document for your records and submit a legible photocopy for filing with the
Secretary of State.
Sign and date this document. Only one of the markholders or an authorized agent (The signing party must indicate on the
document that they are acting as the agent of the person(s) whose signature would be required and that they have been
authorized to sign on behalf of that person), must sign the form.
List the name and telephone number of a person to be contacted if there are any questions about this renewal filing.
INSTRUCTIONS FOR PRE-PRINTED FORMS
1. If all of the information pre-printed on this form is current, you need only sign and submit the form along with the $25.00
filing fee.
2. The information pre-printed on this form is currently on file with the Office of the Secretary of State. Only the address of
the markholders in Item 3 may be changed on this form. If you are making an address change in item 3, you must list the full
street address, city, state and ZIP code of the markholder(s). If the markholders have changed, you must file an assignment
form.
INSTRUCTIONS FOR NON PRE-PRINTED FORMS
1. List the words or phrase used in the mark as well as a description of any design that is part of the mark. (This information
is on the original certificate of registration.)
2. List the classification number that appears on your original certificate of registration.
3. List the names and addresses of the persons or entities currently on file with the Office of the Secretary of State. If the
addresses have changed, list the new address in the box to the right. If the markholders have changed, you must file an
assignment form.
4. List the date this mark was originally filed with the Secretary of State of Minnesota as it appears on the certificate of
registration.
5. List the date on which the mark expires, which is ten years after the date listed in item 4.
Filing Fee: $25.00 Payable to the MN Secretary of State
FILE IN-PERSON OR MAIL TO:
Minnesota Secretary of State - Business Services
Retirement Systems of Minnesota Building
60 Empire Drive, Suite 100
St Paul, MN 55103
(Staffed 8:00 - 4:00, Monday - Friday, excluding holidays)
To obtain a copy of a form you can go to our web site at or contact us between 9:00am to 4:00pm,
Monday through Friday at (651) 296-2803 or toll free 1-877-551-6767.
All of the information on this form is public. Minnesota law requires certain information to be provided for this type of filing. If
that information is not included, your document may be returned unfiled. This document can be made available in alternative
formats, such as large print, Braille or audio tape, by calling (651)296-2803/voice. For a TTY/TTD (deaf and hard of hearing)
communication, contact the Minnesota Relay Service at 1-800-627-3529 and ask them to place a call to (651)296-2803. The
Secretary of State's Office does not discriminate on the basis of race, creed, color, sex, sexual orientation, national origin,
age, marital status, disability, religion, reliance on public assistance or political opinions or affiliations in employment or the
provision of service.
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