Arizona Trademark Registration Application Form

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Arizona Trademark Registration Application

This form allows for a resident of Arizona to file for a trademark and attach the $15 filing fee. Send all forms and payments to:

Arizona Secretary of State Ken Bennett
Attention: Business Services, TrademarkDivision
1700 W. Washington Street, 7th Fl., Phoenix, AZ 85007-2888

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Office Form SOSBSTM.doc Page 1 of 2
State of Arizona
Trademark/Service Mark Application
FOR OFFICE USE ONLY – REV. 10/01/11
Mail to: Arizona Secretary of State Ken Bennett
Attention: Business Services, TrademarkDivision
1700 W. Washington Street, 7th Fl., Phoenix, AZ 85007-2888
(602) 542-6187 (800) 458-5842 (within Arizona)
Website: www.azsos.gov
The registration of a Trademark is not legally required in Arizona,
but is an accepted business practice. The registration of a Trademark is a public record and
does not constitute exclusive rights to the holder of the Mark.
TRADEMARK APPLICATION
About this Application How to complete this form
 First time applicants applying for a Trademark or Service Mark
under A.R.S. §§ 44-1441 to 44-1455 use this form.
 Applicants who are renewing a Trademark on file shall use the
Trademark Renewal Form.
Filing Fee: $15; expedited service, an additional $25 fee
Payment: Checks or money orders shall be made payable to the
Secretary of State. Credit cards are not accepted.
Processing: 2-3 weeks; expedited service, usually 24-48hrs
Address Change: If you relocate, please remember to complete an
amendment form to update the new address with our office.
 To avoid registration errors please write legibly or computer generate this
Trademark Application. This form has been designed to be filled out and
printed online at the website referenced above.
 Read this application carefully, and fill in all blank spaces.
 Sign and date the application and have it notarized.
File by mail with payment to the address above, or
Return in person at the following locations:
PHOENIX – State Capitol
Executive Tower
1700 W. Washington Street
First Floor, Room 103
TUCSON – Arizona State Complex
Building
400 W. Congress
Second Floor, Room 252
Open Monday – Friday, 8 a.m. – 5 p.m., except state holidays.
1. Trademark/Service Mark information to be registered SPACE BELOW FOR OFFICE USE ONLY – VALIDATION AREA
Written Description: Provide an accurate written description of your mark (logo or symbol)
2. Name of entity or individual to which the trademark will be registered.
If owner is an individual, list the individual’s name; if the owner is a corp, list the corporation’s name; etc
If two applicants, list both.
1
st
Applicant Name 2
nd
Applicant Name
Mailing Address (include street, box or suite number) City State Zip Code
Products or Goods: Provide a description of goods on which this mark is used Business Phone Number – optional (include area code)
What type of entity will function as the owner of this trademark?
 INDIVIDUAL  FOREIGN CORPORATION (Licensed to do business within Arizona)  ORGANIZATION
 PARTNERSHIP  ASSOCIATION  OTHER (If other, please indicate type below)
 CORPORATION*  LIMITED LIABILITY COMPANY (LLC)* ______________________________________
*If choosing LLC or Corp, the signer must be listed on the Arizona Corporation Commission’s website as a member or officer.
If either is checked and not currently incorporated, the application will be returned.
The date in which the Mark was first used
by the applicant.
Month Day Year Date Mark was first used in the state of Arizona. This
date must be today’s date or prior to today’s date.
Month Day Year
DO NOT WRITE IN THIS SPACEState of Arizona
TRADEMARK/SERVICE MARK REGISTRATION FORM
Arizona Secretary of State’s Office
Office Form SOSBSTMapptm.doc Page 2 of 2
3. Trademark/Service Mark Samples
Attach three samples of the trademark/service mark with this application on 8 1/2 by 11 inch (letter) paper that can be
photocopied clearly. Examples: letterhead, business card, advertisement, etc.
Classification Number(s): refer to the Trade Name & Trademark book :
4. Applicant’s Signature If two applicants are listed above, both must sign.
1
st
Signer’s Printed Name Signature Month Day Year
2
nd
Signer’s Printed Name Signature Month Day Year
State of Arizona )
County of ___________________
)
)
On this ______ day of ________________________, 20 ____
(Name of Signer Appearing Before Notary)
APPLICANT MUST BE AT LEAST 18 personally appeared before me and acknowledged that he/she signed this
document for it’s stated purpose.
 I have enclosed a check or money order for $15 made payable to “Secretary of State”
 I have attached three samples with this registration form as requested in Section 3.

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