Application For Renewal Of Registered Mark Form - 2007
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1Application for Renewal
MICHAEL A. MAURO
of Registered Mark
Secretary of State
State of Iowa
One actual facsimile or specimen
of mark must accompany this application
The applicant
is the owner of a mark which has been registered
with the Secretary of State under number
and hereby makes application for renewal of the
registration.
Address of Applicant:
Street
City
County
State
ZIP
A
B
C
Indicate One: (
) Individual
(
) Partnership
(
) Corporation
If B, state names and addresses of partners:
If C, state where incorporated:
Description of mark
The mark described above is still in use by the applicant in the state of Iowa and in the state(s) of :
I certify under penalty of perjury and pursuant to the laws of the State of Iowa that the preceding is true and correct.
Signed:
Title:
Date:
NOTES:
1. The application fee is $10.00. Make checks payable to SECRETARY OF STATE.
2. The information you provide will be open for public inspection under Iowa Code section 22.11
SECRETARY OF STATE
Business Services Division
Lucas Building, 1st Floor
Des Moines, Iowa 50319
Phone: (515) 281-5204
FAX: (515) 281-7142 or (515) 242-5953
635_0117
rev 04/07
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