RECORD
TRADEMARK
TO
COMMISSIONER OF CUSTOMS
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
