CONCURRENT
TRADEMARK/SERVICE MARK APPLICATION
PRINCIPAL
REGISTER
Mark: ____________________________________
Class
Number: _____________________________
TO
THE COMMISSIONER OF PATENTS AND TRADEMARKS:
(Insert
appropriate identification of applicant)
The
above identified applicant has adopted and is using the
________________________ (Trademark or Service Mark) shown in the accompanying
drawing for the following described ____________________ (Goods or Services),
and requests that the mark be registered in the United States Patent and
Trademark Office on the Principal Register established by the Act of July 5,
1946, for the area comprising _____________________ (List States for which
Registration is Sought).
The
trademark was first used on the goods on __________ (Date); was first used on
the goods in __________________________ (Type of Commerce) commerce on
__________ (Date); and is now in use in such commerce.
(Insert
one of the following paragraphs as applicable:
The mark has been in lawful use in commerce or in connection with the
goods for the year preceding the filing of this application or The mark has not
been in use in commerce for the full year preceding the filing of this
application, but applicant requires domestic registration as a basis for
foreign protection of the mark.)
The
mark is used by applying it to _____________________________ (Insert Manner or
Method of Using the Mark with the Goods, such as: the goods or the containers for the goods or displays associated
with the goods or tags or labels affixed to the goods or other method which may
be in use), and five specimens showing the mark as actually used are presented
herewith.
The
following ____________________________________ (Exception or Exceptions) to
applicant’s right to exclusive use are:
By: ___________________ (Name), doing business
at ____________________ (Address, Including Street, City and State), who is
using the mark ___________________________ (Identify Mark and Registration
Number or Serial Number, if any) for ____________________ (Common, Usual or
Ordinary Name of Goods or Services) in the States of __________ by applying the
mark to ____________ from __________ (Earlier Known Date of Such Use) to the
present.
(Insert
appropriate verification or declaration and add, after the word association the
words other than those authorized by applicant.)
1Attach designation of domestic representative, if
necessary.