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Back to Forms for 'Trademarks'.





US Customs Service Commissioner of Customs, Washington, DC  20226

Re:  Recordation of Trademark


To:  The Commissioner


I _______________________________ (Name) hereby makes application to record the following trademark with the Department of the Treasury, Bureau of Customs: _____________________________________________________________________




(Describe trademark, giving its registration number and other pertinent data)


As a part of this application, applicant submits the following information:  

1.  Trademark owner  ___________________________________________________


(include name, complete business address, and citizenship of trademark owner or owners);


2.  The goods bearing the recorded trademark are manufactured in ___________________________________________________ (Place of Manufacture)


3.  State, as appropriate:  There are no foreign persons or business entities authorized or licensed to use the trademark by the trademark owner or _____________________________________ (Name of Person or Entity), is located at _________________________________________ (Principal Business Address) is the only foreign _____________________________________ (Person or Business Entity) authorized to use the trademark.  Such ____________________ (Person or Entity) is authorized to use the trademark for the following purposes:______________________



4. State, as appropriate:  There are no parent or subsidiary companies or other foreign companies under common ownership or control of the trademark owner that use the above-described trademark or ____________________________________ Company, a subsidiary of _____________________________ (Name of Trademark Owner) uses the above-described trademark abroad for the following purposes:





Enclosed, please find:  

(A) A status copy of the Certificate of Registration for the above mark certified by the United States Patent and Trademark Office showing title and the name of ___________ ______________________________________________ (Name of Trademark Owner)


(B) Five copies of the Certificate; and


(C) A check in the amount of $____________ to be applied to the recordation fee for the mark.



_________________________                    _____________

Signature                                                       Date


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